Mucosal esophageal carcinoma following endoscopic submucosal dissection with giant gastric metastasis: A case report and review of literature

Figure 5 In November 2022, the patient underwent the fourth endoscopy re-examination. A: Esophageal mucosa was smooth, and no advanced cancer was noted; B: Circumferential submucosal tumor-like swelling was observed in the cardia and stomach body, along with local ulceration and the formation of multiple ulcers; C: Biopsy of cardia revealed squamous-cell carcinoma; D: Computed tomography (CT) showed cardia tumor; E: CT revealed multiple metastatic tumors in the liver; F: CT showed metastatic tumors in the right adrenal gland.