Esophageal carcinoma

Case contributed by Dr Ian Bickle

Presentation

Elderly gentleman with swallowing difficulties.

Patient Data

Age: 85 years
Gender: Male
Barium

The esophagus is distended down to the distal third with a standing column of barium.

Extensive mucosal irregularity on the posterior aspect of the distal esophagus.

CT

Circumferential soft tissue mass involving the distal third of the esophagus extending down to the gastro-esophageal junction.

7 mm right lower lobe nodule.

1 cm pathological upper abdominal node.

Case Discussion

Not too many patients now present and have their initial diagnosis of esophageal malignancy made with a barium swallow.

This is an example of a pretty advanced malignancy with extensive mucosal irregularity. 

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