Gastric cardia adenocarcinoma

Case contributed by Dr MT. Niknejad

Presentation

Abdominal pain and dyspepsia.

Patient Data

Age: 60 years
Gender: Male

Increased wall thickness suggestive of tumoral infiltration is present at gastric cardia, accompanied by several perigastric, paraceliac and paraaortic lymphadenopathies with maximum SAD of 13mm.
A few non-enhanced simple cortical cysts are seen at both kidneys, with maximum diameters of 20mm. 
The prostate gland is mildly enlarged.
Degenerative changes as osteophytosis are seen at the lumbar spine.

Case Discussion

Path proven gastric cardia adenocarcinoma with regional lymphadenopathies. No detectable metastasis. 
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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