Carcinoma of gastric cardia, extending into the esophagus and proximal stomach.
A 61-year-old man with a three-month history of dysphagia. The endoscopy photographs show an exophytic lesion occupying most of the lumen. The second photograph shows on J manoeuvre, the tumor (behind the scope) protruding into the stomach. Biopsied and confirmed to be adenocarcinoma. A CT scan did not show any evidence of metastatic disease, and the tumor did not appear to have any local extension. Underwent esophagogastrectomy. At operation there was evidence of serosal involvement in the region of the tumor. The opened specimen shows an ulcerating neoplasm, based at the cardia and extending into the esophagus and proximal stomach. No evidence of Barretts.
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