c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Subtotal Gastrectomy After Neoadjuvant Therapy: 1

A D V E R T I S E M E N T

   
 

A 68-year-old man presented with anemia and weight loss. Upper endoscopy (EGD) revealed a large, exophytic mass in the mid-body of the stomach. Biopsy was positive for adenocarcinoma.       

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Subtotal Gastrectomy After Neoadjuvant Therapy: 2

A D V E R T I S E M E N T

   
 

There was a background of atrophic gastritis.       

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Subtotal Gastrectomy After Neoadjuvant Therapy: 3

A D V E R T I S E M E N T

   
 

CT scan showed an extragastric nodule (arrow), presumed to be a lymph node, adjacent to the gastric mass. Workup, including diagnostic laparoscopy, revealed no evidence of distant metastasis. There were enlarged omental lymph nodes along the greater curve. The patient had placement of a feeding jejunostomy (see jejunostomy) in anticipation of neoadjuvant chemoradiation.     

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This page was last modified on 12/22/2003.