Large esophageal cancer in a patient with achalasia

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Chest pain and vomiting.

Patient Data

Age: 50 years
Gender: Male

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. 

Case Discussion

The patient underwent endoscopy and biopsy. Histopathology evaluation confirms squamous cell carcinoma of the esophagus.

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