Stomach Gross Pathology Question - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 06-08-2011
bebix's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,357
Threads: 194
Thanked 3,261 Times in 881 Posts
Reputation: 3271
GIT Stomach Gross Pathology Question

43 y/o women had a history of several months of progressive loss of appetite, early satiety and weight loss. She also had an endoscopic image informed as "walls of the stomach appeared thickened, and the stomach distended poorly". She died and the pathologist found this in her stomach:

Stomach Gross Pathology Question-stomach.jpg
click image to enlarge

A) This lesion is associated with H. pylori
B) This lesion is more common in postmenopausal women
C) Peritoneal spread can present with an enlarged ovary
D) If detected early, this lesion has a good prognosis
E) This patient must have had pernicious anemia
Reply With Quote Quick reply to this message
The above post was thanked by:
drgsarunprasath (06-09-2011), star123 (06-08-2011), struggle (06-08-2011)



  #2  
Old 06-08-2011
Claus_CU's Avatar
USMLE Forums Addict
 
Steps History: 1 + CS
Posts: 113
Threads: 8
Thanked 89 Times in 61 Posts
Reputation: 99
Default

my answer is E)
Reply With Quote Quick reply to this message
The above post was thanked by:
bebix (06-08-2011)
  #3  
Old 06-08-2011
MedicalExaminer's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 824
Threads: 66
Thanked 463 Times in 298 Posts
Reputation: 473
Default

the lesion resembles to linitis plastica
__________________
Everything is possible for him who believes (MARK 9:23)
245/247/passed on 1st attempt/223/2mos Obsie /3 US LORS/visa not needed/2008 grad
Reply With Quote Quick reply to this message
The above post was thanked by:
bebix (06-08-2011)
 
  #4  
Old 06-08-2011
qurat21's Avatar
USMLE Forums Master
 
Steps History: 1 + CK
Posts: 623
Threads: 62
Thanked 288 Times in 186 Posts
Reputation: 298
Default

answer is c krukenberg tumour of ovaries
Reply With Quote Quick reply to this message
The above post was thanked by:
bebix (06-08-2011)
  #5  
Old 06-08-2011
USMLE Forums Addict
 
Steps History: CK Only
Posts: 178
Threads: 61
Thanked 250 Times in 105 Posts
Reputation: 260
Default

It could be stomach cancer --> can cause krukenberg tumor of ovaries
I would say that C is correct.
Reply With Quote Quick reply to this message
The above post was thanked by:
bebix (06-08-2011)
  #6  
Old 06-08-2011
Mohabravo's Avatar
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 122
Threads: 6
Thanked 39 Times in 27 Posts
Reputation: 49
Default

I think C. I think it is a Linitis Plastica and it is very aggressive and can metastasized to other parts. But this is kinna tricky question because Linitis Plastica can be seen from metastasis of Breast cancer in a post menopausa woman. So in this case, B can be a possible hard choice. But I would stick with C.
Reply With Quote Quick reply to this message
The above post was thanked by:
bebix (06-08-2011)
  #7  
Old 06-08-2011
yasirsattar75's Avatar
USMLE Forums Guru
 
Steps History: Not yet
Posts: 395
Threads: 51
Thanked 292 Times in 111 Posts
Reputation: 302
Default i think its c

it seems to b kruckenberg tumour
Reply With Quote Quick reply to this message
The above post was thanked by:
bebix (06-08-2011)
  #8  
Old 06-08-2011
USMLE Forums Guru
 
Steps History: Not yet
Posts: 324
Threads: 70
Thanked 238 Times in 144 Posts
Reputation: 248
Default

It looks like linitis plastica and stomach walls cannot distend properly..
So its C i think.
Reply With Quote Quick reply to this message
The above post was thanked by:
bebix (06-08-2011)
  #9  
Old 06-08-2011
USMLE Forums Veteran
 
Steps History: ---
Posts: 253
Threads: 20
Thanked 43 Times in 39 Posts
Reputation: 53
Default

yea, c seems to be the correct answer.
Reply With Quote Quick reply to this message
  #10  
Old 06-08-2011
bebix's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,357
Threads: 194
Thanked 3,261 Times in 881 Posts
Reputation: 3271
Correct Answer correct answer

yup, the correct answer is C)

- aka "leather bottle"
-women:men ratio = 60%/40%
-Risk of Krukenberg tumor (15%).
-The median survival time: 8 months for those with M1 cancer.
-10% of the patients had a family history of gastric carcinoma (familial forms of gastric linitis and breast cancer-associated forms have been reported)
- Age of onset is below 40y/o
- not associated with H.pylori
- Singet-ring cells present
Reply With Quote Quick reply to this message
The above post was thanked by:
pncdoc (02-21-2015), star123 (06-08-2011)
  #11  
Old 06-08-2011
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 35
Threads: 1
Thanked 49 Times in 23 Posts
Reputation: 59
Default

i agree with u it's Krukenberg tumor BUT it spread hematogenously NOT peritoneal spread !!
Reply With Quote Quick reply to this message
  #12  
Old 06-08-2011
bebix's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,357
Threads: 194
Thanked 3,261 Times in 881 Posts
Reputation: 3271
Default

Quote:
Originally Posted by Al-Saoudi View Post
i agree with u it's Krukenberg tumor BUT it spread hematogenously NOT peritoneal spread !!
Goljan = hematogenously
UpToDate = peritoneal

Reply With Quote Quick reply to this message
The above post was thanked by:
Al-Saoudi (06-09-2011), pass7 (06-08-2011)
  #13  
Old 06-08-2011
USMLE Forums Addict
 
Steps History: CK Only
Posts: 178
Threads: 61
Thanked 250 Times in 105 Posts
Reputation: 260
Default

Quote:
Originally Posted by bebix View Post
Goljan = hematogenously
UpToDate = peritoneal

Linitis plastica is not associated with H. pylori infection or chronic gastritis. Thus, E is not correct.

In Goljan RR; page 460 (table 21-4) --> Krukenberg tumor contains signel-ring cells from hemalogenous spread of a gastric cancer.
Reply With Quote Quick reply to this message
  #14  
Old 06-09-2011
bebix's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,357
Threads: 194
Thanked 3,261 Times in 881 Posts
Reputation: 3271
Default

Quote:
Originally Posted by m82_ghasemi View Post
Linitis plastica is not associated with H. pylori infection or chronic gastritis. Thus, E is not correct.

In Goljan RR; page 460 (table 21-4) --> Krukenberg tumor contains signel-ring cells from hemalogenous spread of a gastric cancer.
yup, see above
Reply With Quote Quick reply to this message



Reply

Tags
Gastrointestinal-Tract-, Pathology-, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Ovarian Tumor Gross Pathology! Farqad USMLE Step 2 CK Forum 6 04-11-2016 06:20 AM
Lung Gross Pathology Question bebix USMLE Step 1 Forum 13 06-07-2011 12:35 PM
Upper GI Pathology Question Seetal USMLE Step 2 CK Forum 9 04-24-2011 09:34 AM
Practice Question: Reproductive pathology apx85 USMLE Step 1 Forum 5 03-15-2011 10:08 AM
Two Physiological Parts of the Stomach laxitjn USMLE Step 1 Forum 0 01-28-2011 11:37 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)