Presentation
Long-standing epigastric discomfort with gradually developing dysphagia.
Patient Data
There is an irregular and asymmetric increase in mural thickness (up to 21 mm in maximum size, unilaterally at the cardia), which involves the cardia and body along the lesser curvature with surrounding fat stranding. The esophagus is dilated with air-fluid level; however, no definite abnormal increase in mural thickness or lesion is appreciated.
No CT-detectable invasion of adjacent organs is noted.
A few sub-centimeter lymph nodes are noted in the pre-esophageal region and in the vicinity of the lesser curvature.
Multiple, variable-size simple cysts are noted in both kidneys, with the largest one measuring about 7.8 x 6.3 cm at the lower pole on the left side.
The prostate is enlarged in size as well.
Case Discussion
The patient underwent upper GI endoscopy and biopsy with histopathological confirmation of gastric carcinoma (cT3N1M0).
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