Esophageal adenocarcinoma

Case contributed by Dr Alexandra Stanislavsky

Presentation

70 year old man presents for investigation of dysphagia.

Patient Data

Age: 70
Gender: Male
Fluoroscopy

A region of fixed, irregular stricturing was seen in the distal esophagus. In the supine position, a sliding hiatus hernia and gastroesophageal reflux were also demonstrated. 

CT

Subsequent CT shows some circumferential thickening of the distal esophagus and bulky mediastinal lymph nodes but no distant metastases.

Case Discussion

 Patient referred for gastroscopy and esophageal biopsy.

Histopathology: Poorly differentiated adenocarcinoma of the esophagus.

In the context of the hiatus hernia and reflux, this is likely a consequence of Barrett esophagus.

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Case information

rID: 12917
Published: 2nd Feb 2011
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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