Gastric Cancer in Chest Radiograph

A 90-year-old man presented with progressive edema in both legs and malaise and dizziness associated with hypoglycemia. On examination, a nontender epigastric mass was palpated. A chest radiograph showed a round, irregular opacity inside the gastric chamber. A 90-year-old man presented with a 1-mont...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 376; no. 1; p. 73
Main Authors Polo, Jorge L, Porres, Juan C
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 05.01.2017
Subjects
Adenocarcinoma - diagnostic imaging
Adenocarcinoma - pathology
Aged, 80 and over
Case reports
Chest
Edema
Edema - etiology
Fatal Outcome
Gastric cancer
Humans
Hypoglycemia
Male
Radiography, Thoracic
Stomach Neoplasms - diagnostic imaging
Stomach Neoplasms - pathology
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Summary:A 90-year-old man presented with progressive edema in both legs and malaise and dizziness associated with hypoglycemia. On examination, a nontender epigastric mass was palpated. A chest radiograph showed a round, irregular opacity inside the gastric chamber. A 90-year-old man presented with a 1-month history of progressive edema in both legs and several episodes of malaise and dizziness that were associated with hypoglycemia. On examination, a nontender epigastric mass was palpated. A plain radiograph of the chest showed a round, irregular opacity inside the gastric chamber and a colonic segment below the right hemidiaphragm (Panel A). Upper gastrointestinal endoscopy revealed a diffusely eroded, exophytic mass arising from the subcardial area (Panel B). Histologic features were consistent with a high-grade, poorly differentiated gastric adenocarcinoma. The patient received a diagnosis of advanced gastric cancer; he was given treatment to . . .
Bibliography:ObjectType-Case Study-2
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ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMicm1603385