Esophagogastric adenocarcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and dyspepsia.

Patient Data

Age: 60 years
Gender: Male
This study is a stack
Axial lung
window
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial C+
delayed
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

Increased wall thickness due to tumoral infiltration is present at esophagogastric junction, gastric cardia, subcardia and body. Several enlarged perigastric and mesenteric lymphadenopathies are observed.

A little amount ascites and omental thickening are also evident. 

Inhomogeneously, the hepatic attenuation value is less than of the spleen, suggesting uneven fatty liver.

A few non-enhanced simple cortical cysts are seen at both kidneys.

The prostate gland is enlarged.

Small fat containing left inguinal hernia is present.

An 11 mm nodule is present on left major fissure most likely fibrotic nodule. 

Case Discussion

Esophagogastric mass; pathology proven adenocarcinoma with perigastric and mesenteric lymphadenopathies, ascites and omental thickening.

CT is currently the staging modality of choice because it can help identify the primary tumor, assess for the local spread, and detect nodal involvement and distant metastases.

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