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Gastro-esophageal carcinoma (recurrence)

Case contributed by Dr Varun Babu

Presentation

Progressive dysphagia in a patient operated for perforated gastro - esophageal adenocarcinoma and underwent two cycles of chemotherapy.

Patient Data

Age: 50 years
Gender: Male

Post surgical status of esophagogastric junction with a trilobulated large chunk of tumor deposit recurring and sitting infiltration left hemidiaphragm, along the superolateral margin of existing gastro - esophageal junction, transecting proximal suture. Enhancing soft tissue mass is seen transmural involving greater curvature of stomach at site of distal anastomotic suture. Post splenectomy status. Loss of fat planes with left lobe of liver. Few perigastric enhancing discrete lymph nodes. 

Case Discussion

This patient due to a perforation of the upper GIT had to undergo a reconstructive surgery despite having advanced locally. Whilst a grave prognosis was suggested to the patient, the surgeon referred the patient for a repeat imaging to look for feasibility of stenting for palliation. The necrotic nature of the deposits is evident by the poor enhancement of the central areas of the deposits. 

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Case information

rID: 57475
Published: 28th Dec 2017
Last edited: 22nd Dec 2020
Inclusion in quiz mode: Included
Institution: Vivid Diagnostic Centre

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