Metastatic esophagogastric adenocarcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Work up for abdominal pain, dysphagia and vomiting.

Patient Data

Age: 60 years
Gender: Male

Increased wall thickness due to tumoral infiltration is present at the esophagogastric junction, and gastric cardia and subcardia cause esophageal contrast media stasis.

Several necrotic enlarged lymph nodes are seen at perigastric and upper para aortocaval regions with SAD less than 23 mm.

In addition, multiple hetero-enhancing masses are scattered throughout the liver less than 52 mm, inferring metastases.

A few subcentimeter simple cortical cysts are seen in the kidneys.

Case Discussion

Esophagogastric mass; pathology-proven adenocarcinoma with regional and para aortocaval lymphadenopathy and hepatic metastases.

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