The specimen consists of the greater part of the stomach and shows in its distal portion an extensive
carcinoma widely infiltrating the wall and extending through the muscle coat to the serosa; on the
serosal surface there is extensive tumour. The tumour extends into the first part of the duodenum.
This woman was admitted to hospital at the age of 60, with a diagnosis of carcinoma of
the stomach; the background is not clear but apparently includes anaemia. She refused surgery but
was readmitted to hospital shortly after discharge and on this occasion accepted surgery. At
operation the pancreas appeared to be superficially invaded but there were no liver or gross
peritoneal deposits apparent. Death occurred some three months later. The histology of the lesion
was that of a poorly differentiated adenocarcinoma.