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

 

Esophagogastrectomy: 1

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

   
 

A 57-year-old woman presented with a complaint of dysphagia and a 23-lb weight-loss over a three month period. She was not a smoker and did not drink alcohol. Endoscopy found a circumferential esophageal lesion at 34 cm from the incisors. Biopsy showed squamous cell carcinoma.      

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Esophagogastrectomy: 2

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

   
 

A retroflexed view shows the gastric end of the tumor. The tumor measured 6 cm in length by endoscopic ultrasound and 27.5 mm in thickness. An 8-mm gastrohepatic ligament lymph node was noted, and a malignant appearing peri-tumoral lymph node was seen at 35 cm.      

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Esophagogastrectomy: 3

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

   
 

Because the patient was unable to swallow, a percutaneous endoscopic gastrostomy (PEG) was placed for feeding.       

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This page was last modified on 2/15/2006.