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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 343:1951-1958 December 28, 2000 Number 26
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Case 40-2000— A 38-Year-Old Woman with Gastric Adenocarcinoma
Christopher L. Carpenter, and Eva D. Patalas

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Presentation of Case

A 38-year-old woman was admitted to the hospital because of a tumor at the gastroesophageal junction.

The patient had been in excellent health until six and a half weeks earlier, when she began to have a fever with a cough productive of green sputum. At about the same time, she also felt a "sticking" sensation on swallowing solid foods, even after thorough chewing; liquids were swallowed adequately. Lansoprazole was prescribed, without improvement. Two and a half weeks before admission, esophagogastroduodenoscopic examination at another hospital revealed a tumor, 7 by 4 cm, in the proximal portion of the stomach, with extension . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. Christopher L. Carpenter's Diagnoses

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