Esophagogastric adenocarcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Work up for chest pain and dysphagia.

Patient Data

Age: 50 years
Gender: Male

Marked asymmetrical increased wall thickness due to tumoral infiltration is present at the distal third of esophagus, esophagogastric junction, and gastric cardia, causing oral contrast stasis. The contact arch between the mass and adjacent aorta is more than 90 degrees, suspected of local invasion.

Several enlarged lymph nodes are seen in paracardia regions with SAD less than 15 mm.

Case Discussion

Esophagogastric mass; pathology proved adenocarcinoma, with regional enlarged lymph nodes.

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