Carcinoma of oesophagus

Case contributed by Dr Ayush Goel

Presentation

Difficulty in swallowing. Previous history of some bone lesion in the left ulna which was operated (No records) -- ? Metastases

Patient Data

Age: 40 yrs
Gender: Female
Modality: CT

Findings :

  • circumferential wall thickening (wall thickness 17mm) of the lower esophagus from D6 to D10 vertebral level
    • with proximal oesophageal dilatation.
    • perioesophageal infiltration and loss of peri-aortic fat plane.
    • no evidence of oesophageal-gastric junction involvement.
  • multiple enlarged right supraclavicular, right para-tracheal, highest mediastinal, pre-tracheal, pre-vascular, peri-oesophageal and subcarinal nodes, largest measuring 22 x 14 mm.
  •  expansile lytic lesion in the infero-lateral border of right scapula - metastases

Case Discussion

Case of carcinoma of oesophagus with bone metastases.

Carcinoma of the oesophagus is relatively uncommon. It tends to present with increasing dysphagia, initially to solids and progressing to liquids as the tumour increases in size, obstructing the lumen of the oesophagus.

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Case Information

rID: 27356
Case created: 31st Jan 2014
Last edited: 18th May 2017
Inclusion in quiz mode: Included

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