Esophageal cancer

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Increasing dysphagia of solids.

Patient Data

Age: 65 years
Gender: Male
Fluoroscopy

Barium swallow demonstrates a lobulated polypoid mass in the inferior esophagus mostly filling the lumen, but not grossly impeding passage of liquid barium. 

ct

CT demonstrates thickening of the wall of the gastro-esophageal junction with a mass filling the lumen of the esophagus. A number of low density lesions are also seen in the liver, likely to represent metastases.

Case Discussion

Features are those of an advanced distal esophageal carcinoma. 

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