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Esophageal carcinoma with recurrent laryngeal nerve palsy

Case contributed by Paresh K Desai
Diagnosis almost certain

Presentation

Left recurrent laryngeal nerve palsy. Dysphagia

Patient Data

Age: 50 years
Gender: Male

CT was done after an Esophageal endoscopy study.

A dumb-bell configuration mass in the cervicothoracic esophagus with mediastinal extension. Aorto-pulmonary window extension is responsible for recurrent laryngeal nerve palsy. Probable achalasia cardia-pre-existing.

Case Discussion

Presentation of carcinoma esophagus with recurrent laryngeal nerve palsy is rare. Probably <10%.

These patients do not have high survival rates even after radical surgery. Combined therapies are suited best for treating these patients.

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