cases, stomach Week 261: Case 5 April 26, 2023 pathadmin 1. Presented by Ralph Hruban, M.D. and prepared by Shien Micchelli, M.D.This middle-aged woman underwent a gastrectomy for a biopsy-proven infiltrating adenocarcinoma of the stomach. The lesion illustrated was found by the pathologist as part of a hunt for lymph nodes in the perigastric fat.PanIN in ectopic pancreasMetastatic acinar cell carcinomaMetastatic gastric intestinal type carcinomaIntranodal epithelial inclusion 1. Presented by Ralph Hruban, M.D. and prepared by Shien Micchelli, M.D.This middle-aged woman underwent a gastrectomy for a biopsy-proven infiltrating adenocarcinoma of the stomach. The lesion illustrated was found by the pathologist as part of a hunt for lymph nodes in the perigastric fat.