Esophageal cancer

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Chest pain and dysphagia.

Patient Data

Age: 55 years
Gender: Male
ct

Circumferential increased wall thickness due to tumoral infiltration is present at the junction of mid and distal third of the esophagus measuring about 6 cm in length. There is no sign of local invasion to adjacent structures and arc of the contact between the esophageal mass and the aorta is less than 90 degrees. In addition, three small lymphadenopathies are seen in the vicinity of diseased segment with SAD less than 10 mm. 

Areas of decreased lung attenuation were lying centrally within the secondary pulmonary lobules representing centrilobular emphysema. Additionally, A few small nodules, less than 4 mm are scattered at both lungs which seems to be fibrotic nodules. 

Mild degenerative changes as osteophytosis are seen at the lumbar spine.

Case Discussion

Esophageal mass; pathology proven squamous cell carcinoma; with small regional lymphadenopathies. No local invasion; or distant metastasis.

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