63 year old male patient who underwent a laparoscopic cholecystectomy just one month before this admission. Since then, he experienced pain in the upper abdomen, weight loss of approximately 10 kg, odynophagia and progressive dysphagia which advanced to grade 3.



Two barium swallow images and contrast enhanced CT image are shown here.Comment on the Images.



ANSWER

The barium meal showed a fixed irregular narrowing of the esophageal lumen just proximal to the cardia. Contrast-enhanced CT visualized transmural lesions with irregular outer border, obliteration of the fat plane and invasion of adjacent organs, and a T11 osteoblastic lesion.

Adenocarcinoma of oesophagogastric junction


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3 comments

  1. Anonymous Says:
  2. stomach cancer spreading to cardia

     
  3. Anonymous Says:
  4. gastric canser

     
  5. Anonymous Says:
  6. Carcinoma of Stomach

     

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