Following are common features of malignant gastric ulcer on Barium meal, EXCEPT:
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
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.