case_images: PMC4408681_01
case_images: Contrast-enhanced computed tomography scan of the abdomen showing a diffuse circumferential thickening of the distal pyloric antrum of the stomach with a few ulcerative areas
case_images: JCytol-32-50-g001.jpg
case_images: PMC4408681_01_JCytol-32-50-g001.jpg
case_images: F1
case_images: CT scan of abdomen revealed a diffuse circumferential thickening involving the distal pyloric antrum of the stomach with a few superficial ulcerative areas [Figure 1] along with multiple hypodense enhancing hepatic lesions.
case_images: A panel of microphotographs; (a) a cluster of atypical cells along with organisms present in tetrads and octads conforming to the morphology of Sarcina (H and E, x100); (b) A small cluster of atypical epithelial cells; inset : Sarcina in tetrads and octads (H and E, x100); (c) biopsy showing the organism Sarcina (H and E, x40); (d) biopsy showing the presence of tumor cells in the lamina propria (H and E, x40)
case_images: JCytol-32-50-g002.jpg
case_images: PMC4408681_01_JCytol-32-50-g002.jpg
case_images: F2
case_images: The aspiration smears were paucicellular and showed few scattered atypical cells along with organisms present in tetrads and octads conforming to the morphology of Sarcina [Figure 2a and b]. The biopsy also demonstrated Sarcina, primarily on the luminal mucosal surface epithelium [Figure 2c and d].