Scleroderma with esophageal cancer and peptic stricture

Discussion:

Findings are consistent with esophageal carcinoma of the mid thoracic esophagus (irregular stricture) and peptic stricture of the lower esophagus (smooth stricture).  These are recognized complications of scleroderma due to chronic gastro-esophageal reflux related to reduced lower esophageal sphincter tone.   

see also gastrointestinal manifestations of scleroderma

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