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

 

Palliative Total Gastrectomy (Proximal Carcinoma): 1

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

   
 

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.       

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Palliative Total Gastrectomy (Proximal Carcinoma): 2

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

   
 

CT scan shows the thickened proximal gastric wall. There were no evident liver metastases, and some enlarged celiac nodes.       

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Palliative Total Gastrectomy (Proximal Carcinoma): 3

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

   
 

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.      

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This page was last modified on 8/7/2001.