Large esophageal cancer in a patient with achalasia
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Chest pain and vomiting.
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There are dilatation and stasis in esophagus with acute tapering at the lower esophageal sphincter and narrowing at the gastroesophageal junction inferring achalasia.
Additionally, large filling defect is present at anterior aspect of mid esophagus causing marked luminal narrowing.
The patient underwent endoscopy and biopsy. Histopathology evaluation confirms squamous cell carcinoma of the esophagus.