Scirrhous Gastric Carcinoma - Endoscopy (4 of 47)

The gastric cardias is infiltrated The most common cause of secondary achalasia is gastric adenocarcinoma with or without esophageal invasion. The diagnosis must be suspected in patients over 50 years, with recent dysphagia and severe weight loss Plastic linitis, a rare form of primary or secondary undifferentiated adenocarcinoma may rarely manifest as pseudoachalasia secondary to massive invasion of the gastric walls and of the cardial area. In fact, the tumor cells are not easily detected in frozen sections of the surgical specimens. Negative findings at endoscopic biopsy or brushing cause a substantial delay in the diagnosis and treatment of these tumors; therefore, it is clinically important to diagnosis scirrhous gastric carcinoma before planning the treatment