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ULB - Hôpital Erasme Clinic of Upper Gastro Intestinal Tract Surgery Department of Digestive Surgery Eleonora Farinella.

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Presentation on theme: "ULB - Hôpital Erasme Clinic of Upper Gastro Intestinal Tract Surgery Department of Digestive Surgery Eleonora Farinella."— Presentation transcript:

1 ULB - Hôpital Erasme Clinic of Upper Gastro Intestinal Tract Surgery Department of Digestive Surgery Eleonora Farinella

2 January 2014 Clinical Presentation: Vomiting Dysphagia for solid foods Weight loss -10kg Anaemia

3 April 2014 Esophago-gastroscopy: Tumor of the cardia Extension: >39 cm and <46 cm Tumor centre: 42 cm Biopsy: Well-differentiated adenocarcinoma ADENOCARCINOMA CARDIA SIEWERT II

4 ESOPHAGEAL SCANNER (16/04/14): Thickening of the lower esophagus and the lesser curvature of the stomach. Locoregional adenopathy: mediastinum and perigastric No liver or lung metastasis c T4 N+ M0, SIEWERT II

5 PET/CT (18/04/14): Hyper metabolic lesion of the cardia Metastatic lymphadenopathy of lesser curvature

6 ENDOSCOPIC ULTRASOUND (14/4/14): Stenosis lesion of cardia. Tumor-infiltrating the cardia, pleura and diaphragmatic pillars. Locoregional adenopathy peri cardial u T4 N +, SIEWERT II GASTROESOPHAGEAL TRANSIT (15/04/14): Large sub-cardial ulceration. The whole stomach is the seat of a parietal malignant infiltration.

7  Primary surgery  Neoadjuvant chemotherapy  Neoadjuvant chemoradiotherapy  Definitive chemoradiation  Palliative treatment

8 Register here !here


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