Presentation
Dysphagia, dyspepsia and weight loss for three months.
Patient Data
There is diffuse wall thickening in the gastric fundus and body extended within the gastroesophageal junction and a remarkably distended thoracic esophagus with a visible air-contrast level due to the obstructive effect of the lesion.
Extension of the lesion within the related perigastric fat and the gastrohepatic ligament is also seen.
There are some solid masses in the lesser sac, upper left side para-aortic nodes and right side omental fat forming an impression in the adjacent ascending colon, representing neoplastic seeding. A small quantity of fluid is noted in the pelvic cavity.
Case Discussion
Dysphagia can be due to gastric cancer extended within the gastroesophageal junction, especially in adenocarcinoma cases, and in the case of dysphagia complete gastric endoscopy is necessary. The patient underwent esophagogastric endoscopy with biopsy, from which the pathologist identified diffuse infiltrative gastric adenocarcinoma. The treatment of gastric cancer is multidisciplinary.
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