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Unusual presentation of a metastatic esophageal carcinoma.

Orlicka K, Maynard S, Bouin M - Case Rep Gastroenterol (2012)

Bottom Line: A large abdominal mass was discovered on imaging.Biopsies of this mass were in keeping with esophageal squamous cell cancer.This case reinforces the value of biopsy for any neoplastic mass, especially in a context of unusual symptoms.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, Centre hospitalier de l'Université de Montréal, Montréal, Canada.

ABSTRACT
Esophageal cancer most commonly presents with upper digestive symptoms such as dysphagia. Lymph nodes are among the most common metastatic sites of this type of cancer. We report the case of a 53-year-old man presenting with unusual sole presenting features of esophageal cancer. The patient sought medical attention for abdominal pain without dysphagia, which was first investigated with an abdominal computed tomography scan. A large abdominal mass was discovered on imaging. Biopsies of this mass were in keeping with esophageal squamous cell cancer. With this finding, gastroscopy was performed, confirming the presence of primary esophageal cancer. This is a rare presentation of esophageal cancer without upper gastrointestinal symptoms. This case reinforces the value of biopsy for any neoplastic mass, especially in a context of unusual symptoms.

No MeSH data available.


Related in: MedlinePlus

The heterogeneous mass visualized with EUS.
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Figure 2: The heterogeneous mass visualized with EUS.

Mentions: Considering the retropancreatic localization of the mass, an upper endoscopic ultrasound (EUS) was performed to obtain tissue samples for histology. It demonstrated extrinsic compression of the stomach along the lesser curvature by this heterogeneous mass, which measured more than 6 cm (fig. 2). It was invading the celiac trunk and the superior mesenteric artery, as described on the CT. The mass seemed to arise neither from the stomach nor the pancreas. Biopsies were performed by EUS-guided transgastric fine-needle aspiration (19-gauge Echotip ultra-endoscopic ultrasound needle, Wilson-Cook Medical Inc., 3 passes). The specimen was analyzed by a gastrointestinal specialized pathologist and was in keeping with the diagnosis of ESCC. The histology was confirmed by an immunohistochemical study with CD117, CD34, CD45, Be 12, Ker7, Ker20, Ker8-18 and 34 markers.


Unusual presentation of a metastatic esophageal carcinoma.

Orlicka K, Maynard S, Bouin M - Case Rep Gastroenterol (2012)

The heterogeneous mass visualized with EUS.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3369420&req=5

Figure 2: The heterogeneous mass visualized with EUS.
Mentions: Considering the retropancreatic localization of the mass, an upper endoscopic ultrasound (EUS) was performed to obtain tissue samples for histology. It demonstrated extrinsic compression of the stomach along the lesser curvature by this heterogeneous mass, which measured more than 6 cm (fig. 2). It was invading the celiac trunk and the superior mesenteric artery, as described on the CT. The mass seemed to arise neither from the stomach nor the pancreas. Biopsies were performed by EUS-guided transgastric fine-needle aspiration (19-gauge Echotip ultra-endoscopic ultrasound needle, Wilson-Cook Medical Inc., 3 passes). The specimen was analyzed by a gastrointestinal specialized pathologist and was in keeping with the diagnosis of ESCC. The histology was confirmed by an immunohistochemical study with CD117, CD34, CD45, Be 12, Ker7, Ker20, Ker8-18 and 34 markers.

Bottom Line: A large abdominal mass was discovered on imaging.Biopsies of this mass were in keeping with esophageal squamous cell cancer.This case reinforces the value of biopsy for any neoplastic mass, especially in a context of unusual symptoms.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, Centre hospitalier de l'Université de Montréal, Montréal, Canada.

ABSTRACT
Esophageal cancer most commonly presents with upper digestive symptoms such as dysphagia. Lymph nodes are among the most common metastatic sites of this type of cancer. We report the case of a 53-year-old man presenting with unusual sole presenting features of esophageal cancer. The patient sought medical attention for abdominal pain without dysphagia, which was first investigated with an abdominal computed tomography scan. A large abdominal mass was discovered on imaging. Biopsies of this mass were in keeping with esophageal squamous cell cancer. With this finding, gastroscopy was performed, confirming the presence of primary esophageal cancer. This is a rare presentation of esophageal cancer without upper gastrointestinal symptoms. This case reinforces the value of biopsy for any neoplastic mass, especially in a context of unusual symptoms.

No MeSH data available.


Related in: MedlinePlus