Presentation
Dysphagia.
Patient Data
Age: 70 years
Gender: Male
From the case:
Gastroesophageal junction adenocarcinoma
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Circumferential thickening with transmural enhancement of the gastroesophageal junction. Nodal thickening extending into the gastrohepatic ligament. No other metastases.
Case Discussion
Biopsy-proven gastroesophageal adenocarcinoma.
Teaching points:
- Make sure that the distal esophagus and GE junction are part of your upper-GI search pattern; notice how it really jumps out on coronal reformats
- Transmural enhancement indicates tumor rather than inflammation
- Gastrohepatic ligament is a common location for lymphatic tumor spread
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