A 48-year-old man presented with dysphagia, weight loss and anemia. Upper endoscopy showed a circumferential, ulcerated, friable mass in the proximal stomach starting at the cardia.
At exploration, there was obvious metastatic spread, with caked tumor in the omentum, and enlarged lesser curve lymph nodes. Because of the morbidity of continued bleeding and potential esophageal obstruction, it was elected to proceed with assessment for possible palliative total gastrectomy.
Notes:
Link to this frame from your Personal Thumbnails page?
Yes
No
Click the "Update" button to save your Notes and Personal Thumbnails.