Esophageal squamous cell carcinoma

Case contributed by Tariq Walizai
Diagnosis almost certain

Presentation

Long-standing progressive dysphagia.

Patient Data

Age: 45 years
Gender: Male

Eccentric heterogenous intraluminal mass up to 18 mm thick arising from the right esophageal wall with a craniocaudal length of 5.9 cm, extending from D7 to D10. Marked luminal narrowing with upstream dilatation and gas-fluid level.

No CT-detectable local invasion, lymphadenopathy or metastases.

Few fibrotic bands with pleural thickening in both lung apices.

Case Discussion

Endoscopy with biopsy confirmed squamous cell carcinoma of the esophagus. CT findings suggest a stage-II (cT3N0M0) tumor.

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