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Previous Volume 360:2656-2664 June 18, 2009 Number 25 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

Dr. Stephanie Heon (Hematology–Oncology): A 63-year-old woman was seen in the Cancer Center at this hospital for management of adenocarcinoma of the gastroesophageal junction.

The patient had been well until approximately 2 months before this evaluation, when chest and epigastric discomfort developed after she ate solid foods, lasting from minutes to an hour. She had no difficulty swallowing liquids. Eighteen days before this evaluation, radiographs of the upper gastrointestinal tract, obtained at another hospital, showed severe erosive changes in the distal esophagus, an eccentric filling defect in the anterolateral portion of the esophagus, and minimal gastroesophageal reflux. Three days later, . . . [Full Text of this Article]

Differential Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Divisions of Hematology–Oncology (E.L.K.) and Gastroenterology (D.G.F.), Department of Medicine, and the Departments of Radiation Oncology (T.S.H.), Surgery (D.L.B.), Radiology (R.N.U.), and Pathology (G.Y.L.), Massachusetts General Hospital; and the Departments of Medicine (E.L.K., D.G.F.), Radiation Oncology (T.S.H.), Surgery (D.L.B.), Radiology (R.N.U.), and Pathology (G.Y.L.), Harvard Medical School.

Related Letters:

Case 19-2009: Carcinoma of the Gastroesophageal Junction
van der Vliet H. J., van der Peet D. L., Verheul H. M.W., Hong T. S., Kwak E. L.
Extract | Full Text | PDF  
N Engl J Med 2009; 361:1315-1316, Sep 24, 2009. Correspondence

This article has been cited by other articles:

• van der Vliet, H. J., van der Peet, D. L., Verheul, H. M.W., Hong, T. S., Kwak, E. L. (2009). Case 19-2009: Carcinoma of the Gastroesophageal Junction. NEJM 361: 1315-1316 [Full Text]