MedPix® Patient Chart - Case No: 8719 :: Imaging - Review Images

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History

Age: 42 :: Gender: woman

Patient History

42-year old woman had a single episode of hematemesis. She has no prior history of ulcer disease.

Exam


Physical Exam and Laboratory

Healthy white woman with no significant medical problems. Laboratory values were all within normal limits with the exception of mild anemia. Helicobacter IgG was negative.


Findings


Summary of Findings

Large soft tissue mass is present along the distal aspect of the esophagus. The mass measures approximately 6.5 x 4 cm. The mass contacts the lower posterior heart, liver, and cardiac portion of the stomach. There are clear soft tissue plains between all of these structures and the mass. No soft tissue plain can be clearly defined between the mass and the esophagus, however. The mass has a heterogeneous and somewhat exophytic appearance.


Diffferential


Differential Diagnosis

Gatric Lesions
» Leiomyomoma
» Gastric Lymphoma
» Metastatic disease
» GIST
» Hiatal hernia
» Gastric pull-through
Esophageal Lesions
» (similar list)


Diagnosis


Diagnosis

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Treatment


Treatment and Followup

Treatment not available without Diagnosis

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Discussion

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Topic

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Case Contributor and Editor
Topic Author: Tom Hash
Submitted by: Eva M. Smietana - Author Info
Case/Image Editor: Fang Gan - Editor Info
Case Accepted: :: Revised: :: Submitted:
COW: 254 :: CME Start: 20050829 :: CME End: 20110417 :: CME Review Due: 20080829

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