Figure 1: A 51 years old female patient presented with dysphagia, her CT scan showed a. Wall thickening of the stomach, conspicuous at fundus high body, with possible esophageogastric junction involvement. b. A few visible perigastric LNs in the lesser curvacture inbetween the liver and stomach. c. A big ulcerative lesion with partial regular margin and easy bleeding at the lesser curvature side of whole body The pathology result is poorly differentiated adenocarcinoma, pT4aN3aM0, stage IIIC