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Adenocarcinoma
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MedPix Image - MedPix Case
Affiliation: Uniformed Services University
ABSTRACT
Diagnosis: Adenocarcinoma History: 2 week h/o of dysphagia to solids and hematemesis PMH: HTN PSH: none Meds: Atenolol ALL: Carbamazepine SH: no tobacco or EtOH use Findings: IV contrast CT of chest, abd, pelvis: A 6.1x4.5cm mass that extended into the proximal portion of the stomach was noted at the gatroesophageal junction. There does not appear to be any obstruction of fluids as contrast has advanced through the lesion and into the distal bowel. There is a 1.9cm rounded lesion near the tail of the pancreas and a 1.0cm enlarged lymph node adjacent to the portal vein that is concerning for metastatic disease and should be further evaluated by a PET scan. There are multiple hypodensities in the liver and left kidney that are too small to characterize but should be further evaluated. Ddx: Lymphoma Metastatic Disease Dxhow: Pathology/Biopsy Exam: H/H: 13.1/39.5 (low) Chem Panel normal LFTs normal Amylase/Lipase normal No MeSH data available. |
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MPX1616_synpic29138: Thickening of esophageal wall and extension into stomach |
View Article: MedPix Image - MedPix Case
Affiliation: Uniformed Services University
Diagnosis: Adenocarcinoma
History: 2 week h/o of dysphagia to solids and hematemesis PMH: HTN PSH: none Meds: Atenolol ALL: Carbamazepine SH: no tobacco or EtOH use
Findings: IV contrast CT of chest, abd, pelvis: A 6.1x4.5cm mass that extended into the proximal portion of the stomach was noted at the gatroesophageal junction. There does not appear to be any obstruction of fluids as contrast has advanced through the lesion and into the distal bowel. There is a 1.9cm rounded lesion near the tail of the pancreas and a 1.0cm enlarged lymph node adjacent to the portal vein that is concerning for metastatic disease and should be further evaluated by a PET scan. There are multiple hypodensities in the liver and left kidney that are too small to characterize but should be further evaluated.
Ddx: Lymphoma Metastatic Disease
Dxhow: Pathology/Biopsy
Exam: H/H: 13.1/39.5 (low) Chem Panel normal LFTs normal Amylase/Lipase normal
No MeSH data available.
