Gastric ulcer Radiological features

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

– Overt 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.