PMC6411602_01
A Soft tissue heterogeneous polypoidal mass located in the GEJ, which is extending to the gastric cardia measuring 1.3 x 2.7 x 2.5 cm with no evidence of lymphadenopathy or metastasis.
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The study also showed normal mediastinal structures with no evidence of lymphadenopathy or metastasis (Fig. 1).
Endoscopic US showing T1 mass in the gastroesophageal junction.
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T1 mass (Fig. 2) and the pathology report for the endoscopic biopsy indicated a low-grade intestinal type adenocarcinoma. The mass was staged as T1 GEJ Carcinoma (T1N0M0).
Adenocarcinoma, intestinal type, low grade.
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An intra-operative frozen section was sent to pathology that confirmed Gastric cancer intestinal type (Fig. 3) and satisfactory negative margins of each side that was taken separately.
Intraoperative pictures of the mass before and after dissection.
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At the 18 months follow up, no recurrence or metastasis were detected (Fig. 4).