Oesophageal adenocarcinoma

Case contributed by Dr Alexandra Stanislavsky


70 year old man presents for investigation of dysphagia

Patient Data

Age: 70
Gender: Male

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. 


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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