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Fig. 1 | Diagnostic Pathology

Fig. 1

From: Mass-like Dieulafoy’s lesion associated with advanced gastric cancer at the antrum of stomach: a case report and literature review

Fig. 1

a Gross features of the subtotal gastrectomy specimen. A protruded tumor was identified at the anterior wall of the distal antrum and pylorus ring near the lesser curvature. b Numerous abnormally large-caliber tortuous arteries in submucosa with increased submucosal fibrosis, resulting in formation of an elevated plaque. c The well differentiated adenocarcinoma was mostly noted within the mucosa (arrow). Beneath the adenocarcinoma, abnormally large-caliber tortuous arteries were identified in the submucosa with increased submucosal fibrosis (hollow arrow). d A schematic drawing of the resected specimen showed the distribution of the gastric cancer and Dieulafoy’s lesions. The blue areas represented Dieulafoy’s lesions without overlying gastric cancers. The red areas showed the gastric cancer without underlying Dieulafoy’s lesion. The pink areas represented coexistence of gastric cancer and Dieulafoy’s lesions (gastric cancer observed just above the Dieulafoy’s lesions)

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