A 40-year-old man underwent gastroscopy for symptoms of vomiting, early satiety and a history of a 10-lb weight loss. A large, circumferential antral tumor was seen with 3 cm of edematous but normal-appearing antral mucosa between the tumor and the pylorus. Biopsy showed poorly differentiated adenocarcinoma.
Fifteen years prior to this admission, the patient was treated with mantle and inverted Y abdominal radiation therapy for Hodgkin's lymphoma and had no evidence of recurrence. The abdominal X-ray shows clips from a staging laparotomy.
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