Upper endoscopy of a 60-year-old patient admitted to the emergency room with hematemesis and melena, but without weight loss, showed a pre-pyloric ulcerated lesion with irregular borders which was covered with fibrin Figure 19. The lesion was diagnosed as a moderately differentiated adenocarcinoma Figure 20, and the patient was referred to surgery which confirmed that the lesion extended into the submucosa.
Se trata de una paciente de 60 años que consulta a urgencias por hematemesis y melenas, no refiere pérdida de peso, se lleva a EVDA y encontramos una lesión ulcerada prepilórica recubierta de fibrina la cual tiene bordes irregulares figura 19 se bx y reporta un adenocarcinoma moderadamente diferenciado figura 20, es enviada a cirugía la cual confirma que la lesión solo se extiende hasta la submucosa.