Oesophageal adenocarcinoma

Case contributed by Dr Alexandra Stanislavsky


70 year old man presents for investigation of dysphagia

Patient Data

Age: 70
Gender: Male
Modality: Fluoroscopy

A region of fixed, irregular stricturing was seen in the distal oesophagus. In the supine position, a sliding hiatus hernia and gastroesophageal reflux were also demonstrated. 

Modality: CT

Subsequent CT shows some circumferential thickening of the distal oesophagus and bulky mediastinal lymph nodes but no distant metastases.

Case Discussion

 Patient referred for gastroscopy and esophageal biopsy.

Histopathology: Poorly differentiated adenocarcinoma of the oesophagus.

In the context of the hiatus hernia and reflux, this is likely a consequence of Barrett oesophagus.

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Case Information

rID: 12917
Case created: 2nd Feb 2011
Last edited: 18th Sep 2015
Inclusion in quiz mode: Included

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