case_images: PMC3985793_01
case_images: CT findings. a Coronal contrast-enhanced CT in the arterial phase showing a recurrent hepatocellular carcinoma (arrow) and mucosal irregularity under the cardia, suggesting gastric carcinoma (arrowhead). b Multiple lung metastases (arrows) are depicted.
case_images: cro-0007-0199-g01.jpg
case_images: PMC3985793_01_cro-0007-0199-g01.jpg
case_images: F1
case_images: When radiofrequency ablation was performed for the recurrent HCC 2 years ago, gastric cancer was incidentally found (fig. 1a). Additionally, multiple lung tumors were concurrently detected (fig. 1b).
case_images: MRI findings. a Contrast-enhanced T1-weighted image demonstrating a hyperintense tumor (arrow) with central necrosis. b T1-weighted FLAIR image showing a tumor with a hyperintense signal area, consistent with edema. The mass effect causes a midline shift (arrows).
case_images: cro-0007-0199-g02.jpg
case_images: PMC3985793_01_cro-0007-0199-g02.jpg
case_images: F2
case_images: Enhanced MRI revealed an intra-axial tumor in the right occipital cerebral lobe (fig. 2).
case_images: Pathological examination of the intracranial tumor. a Macroscopic findings of the resected tumor. b HE staining of the tumor, x20.
case_images: cro-0007-0199-g03.jpg
case_images: PMC3985793_01_cro-0007-0199-g03.jpg
case_images: F3
case_images: Macroscopic examination of the resected specimen revealed that the tumor was yellowish-white, solid, and accompanied by necrosis (fig. 3a). Pathological examination revealed that the tumor was consistent with metastatic adenocarcinoma of gastric cancer origin (fig. 3b).