case_images: PMC10618010_01
case_images: A computed tomography (CT) scan of the chest.
case_images: cro-2023-0016-0001-534359_F01.jpg
case_images: PMC10618010_01_cro-2023-0016-0001-534359_F01.jpg
case_images: F1
case_images: In addition, a circumferentially thickened mid-distal esophagus with some surrounding lymph nodes was also observed (Fig. 1).
case_images: Esophageal biopsy.
case_images: cro-2023-0016-0001-534359_F02.jpg
case_images: PMC10618010_01_cro-2023-0016-0001-534359_F02.jpg
case_images: F2
case_images: On histopathology, the specimen of the esophageal biopsy showed invasive, poorly differentiated adenocarcinoma in the background of Barrett's esophagitis and dysplasia (Fig. 2).
case_images: Pericardial biopsy showed metastatic poorly differentiated esophageal adenocarcinoma (EAC).
case_images: cro-2023-0016-0001-534359_F03.jpg
case_images: PMC10618010_01_cro-2023-0016-0001-534359_F03.jpg
case_images: F3
case_images: Furthermore, pericardial biopsy showed metastatic poorly differentiated EAC (Fig. 3) and pericardial fluid analysis was negative for malignant cells.