Huge mass posterior to 7th rib penetrating stomach, 7 in. in diameter, fixed in retroperitoneal space and to posterior stomach, ascending into liver with multiple liver and peritoneal metastases. Node from the greater omentum was biopsied (frozen section reported as highly anaplastic and malignant). Wedge Bx of mass. Post-op Dx: Inoperable Carcinoma of stomach.
The following points should be noted with respect to the above summary: