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Gut. 2007 June; 56(6): 820.
PMCID: PMC1954875

Bad breath and weight loss

Monitoring Editor: Robert Spiller

Clinical presentation

A 60‐year‐old man presented complaining of halitosis associated with epigastric discomfort, decreased appetite and weight loss in the previous month. His medical history was unremarkable. A pale conjunctiva and epigastric tenderness were found on physical examination. Laboratory examination revealed microcytic anaemia (haemoglobin 12.2 g/dl; mean corpuscular volume 77.6 fl). Upper endoscopy was arranged because of the possibility of malignancy. On endoscopic examination, the oesophagus and the duodenum were unremarkable. A lesion was found in the stomach (fig 11),), so subsequently a CT scan of the abdomen was performed (fig 22).

figure gt98889.f1
Figure 1 Endoscopic image of the stomach.
figure gt98889.f2
Figure 2 Abdominal CT of the patient.


What is the diagnosis?

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