Presentation
Upper dysphagia.
Patient Data
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Barium swallows reveal a segmental stricture with irregularity in the posterior aspect of the upper esophagus, measuring about 4 cm in length, suggesting tumoral infiltration. The contrast media stasis is evident proximal to the stricture that causes some contrast aspiration into the trachea.
In addition, mild transient border irregularity is observed in the distal two-thirds of the esophagus, suggesting motility disorder.
Small-sized sliding hiatal hernia is also evident.
Case Discussion
The patient went to have an endoscopy and biopsy, and histopathology evaluation confirmed esophageal squamous cell carcinoma.
On barium studies of the gastrointestinal tract, a focal or segmental stricture with irregular margins and shouldering appearance is often suggestive of malignant tumor infiltration and needs further endoscopy and biopsy.
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