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Figure 1. Adenocarcinoma of the Esophagus.
The esophagus of a 69-year-old man with progressive dysphagia was visualized by several methods. Barium esophagography (Panel A) demonstrated a long, irregular distal stricture (arrows) just proximal to the gastroesophageal junction. Computed tomographic scanning (Panel B) showed a thickened esophageal wall (large arrow) and an enlarged paraaortic node (small arrow); Ao denotes aorta. Endoscopy (Panel C) revealed narrowing of the distal esophagus (solid arrows); a biopsy of the nodule (open arrow) demonstrated adenocarcinoma. Endoscopic ultrasonography of the distal esophagus (Panel D), a new technique, showed several structures in cross-section, including the aorta, an irregular . . . [Full Text of this Article] |