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Esophageal involvement by metastatic tu- mors may occur by direct tumor extension from contiguous organs,through mediastinal lymph nodes containing tumor, and via hematogenous spread. The first of these is the most common and is usually seen with tumors of the gastric fundus, hypopharynx,and-larynx.Contiguous spread of tumor to the distal esophagus from carcinoma of the stomach is well known and it is common for carcinoma of the gastric cardia to present
Esophageal involvement by metastatic tu- mors may occur by direct tumor extension from contiguous organs, through mediastinal lymph nodes containing tumors, and via hematogenous spread. The first of these is the most common and is usually seen with tumors of the gastric fundus, hypopharynx, and-larynx.Contiguous spread of tumor to the distal esophagus from carcinoma of the stomach is well known and it is common for carcinoma of the gastric cardia to present