Esophageal squamous cell carcinoma

Case contributed by Shervin Sharifkashani
Diagnosis almost certain

Presentation

Decreased apatite, weight loss, and dysphagia for four months.

Patient Data

Age: 60 years
Gender: Female

Asymmetrical and circumferential mucosal-wall thickening with thickness up to 12 mm and height up to 48 mm in middle to the distal segment of the thoracic esophagus is seen and there is not any obvious evidence of aorta or pericardial invasion but a mild impression on the posterior wall of the cardiac left atrium.

Incidental splenic parenchyma and porta hepatis calcifications.

Case Discussion

The case illustrates the contrast-enhanced features of pathology-proved non-metastatic squamous cell carcinoma of the esophagus. Clinical management is usually based on esophageal cancer TNM staging and the main treatment is surgical. Early diagnosis is determining outcomes 1.

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