GI Radiology > Stomach > Gastric Ulcers
Gastric Ulcers
Summary Of Features
Feature |
BENIGN |
MALIGNANT |
---|---|---|
Location |
Lesser curvature & posterior wall; antrum |
Anywhere |
Crater Shape |
Round, ovoid |
Irregular |
Radiating Folds |
Smooth, symmetric; extend to crater lip |
Nodular, fused; do not extend to crater lip |
Penetration |
Projects outside lumen margin |
Remains inside lumen margin |
Ulcer Mound |
Smooth |
Irregular; rolled edge |
Peristalsis |
Normal |
Abnormal |
Other |
Ulcer collar; Hampton's line |
Rigid adjacent wall; Carman Meniscus sign |
Healing |
Improved within 2-3 weeks of treatment; resolution in 6 weeks |
Fails to improve or resolve with medical therapy |