Following are common features of malignant gastric ulcer on Barium meal, EXCEPT:
D i.e. Lesser curvature ulcer with nodular ring Benign Ulcer Malignant Ulcer - Young age - Old age - Commonly seen on lesser curvatureQ - Commonly seen on greater curvatureQ - Margins of ulcer are not elevated, beaded & - Heaped upQ & Beaded (nodular)Q margins heaped up - Sharply punched out defectQ with relatively - Ove neoplastic tissue extending into the surrounding mucosa & straight walls wall - Base of ulcer is smooth & cleanQ d/t peptic - Shaggy & necrotic baseQ digestion & may show patent or thrombosed blood vessel - Mucosal folds radiate from crater in sponge - Gastric folds are amputated or clubbed & do not reach the edge of the like mannerQ ulcer craterQ - Ulcer mound d/t mucosal edema - Carman's meniscus signQ - the barium which is trapped in ulcer bed - Ulcer collar - a lucent ring that separates the gives meniscoid appearance (inner margin is concave towards ulcer crater from gastric mucosa lumen) - Hampton's line - Kirkland complex - heaped margins touching bed, cause lucent rim - Penetrating Sign - i.e. the ulcer crater should around ulcer on barium meal project into stomach wall rather than into a - Intraluminal crater - the crater erodes into the mass within the mass in stomach wall. gastric cavity.
Location on the greater curvature
Carman's meniscus sign
Radiating folds which do not reach the edge of the ulcer
Lesser curvature ulcer with a nodular rim