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Challenging anatomy

10.12.2014

19.03.2015

10.12.2014

44 year old male with familial E-cadherin CDH1 gene +ve; poorly differentiated signet

ring cell gastric carcinoma. Total gastrectomy 27.04.2010. pT3N1 (1/31 nodes)

Partial response post

chemotherapy

Likely locoregional relapse?? PET-CT not

avid…….