There has been an increase in adenocarcinoma of the gastroesophageal junction and gastric cardia recently. These types of cancer might be difficult to stage preoperatively because of their specific location and involvement of various lymph nodes. The preoperative staging of gastric cancer has to be very precise because it influences the choice of treatment and prognosis. Computed tomography which is the most popular method used for staging is not sensitive and specific enough to detect metastatic lymph nodes. That is why other uncommon diagnostic methods should be used. We present two clinical cases in this article – both patients had adenocarcinoma of the gastric cardia. The treatment plan for them was changed only after video-asissted mediastinoscopy and lymph node biopsy were performed and metastases in proximal mediastinal lymph nodes were detected.
Keyword(s): gastric cancer, mediastinum, mediastinoscopy.
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