Presentation
Work up for dysphagia.
Patient Data
Age: 70 years
Gender: Male
From the case:
Esophageal malignant stricture - barium study
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A 4 cm segmental narrowing with an irregular margin and shouldering appearance at the distal half of the esophagus suggests tumor infiltration.
Evidence of prior sternotomy is noted.
Case Discussion
The patient went to have an endoscopy and biopsy, and the histopathology evaluation confirmed distal esophageal adenocarcinoma.
Focal or segmental strictures with shouldering appearance and irregular margins on the GI tract barium study are highly indicative of a malignant lesion, and further endoscopy and biopsy are needed.
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