Inguinal mass: An unusual presentation of gastroesophageal junction adenocarcinoma

Abstract

Gastroesophageal junction (GEJ) tumors are inherently aggressive owing to their location near vital structures and early lymphatic spread. The usual symptoms at presentation are dysphagia, regurgitation, and weight loss. Lymphatic involvement is seen early due to abundant submucosal lymphatics and is an important prognostic marker. Nodal involvement is frequently seen in the mediastinum and abdomen as these are the loco-regional nodal basins. Nodal spread beyond these basins is infrequent. We report a case of GEJ adenocarcinoma with inguinal mass secondary to inguinal nodal metastasis as a presenting symptom.

Keywords

• Gastroesophageal junction cancer
• gastroesophageal junction tumor
• inguinal metastasis
• nodal metastasis
• unusual metastasis