Verrucous carcinoma of the esophagus: a complex diagnosis
2010; Thieme Medical Publishers (Germany); Volume: 42; Issue: S 02 Linguagem: Inglês
10.1055/s-0029-1244051
ISSN1438-8812
AutoresFernando Macías‐García, L. Martinez-Lesquereux, Belen Fernandez, Parada González P, José Lariño-Noia, M Sobrino-Faya, José Iglesias-Canle, Julio Iglesias–García, Jerónimo Forteza, J. Enrique Domínguez‐Muñoz,
Tópico(s)Head and Neck Cancer Studies
ResumoWe present the case of a 71-year-old woman with complicated gastroesophageal reflux disease with a peptic stricture located 30 cm from the incisors. There was no history of caustic ingestion or alcohol, or use of tobacco. Following four attempts at endoscopic dilation, a self-expanding, removable plastic stent had been placed previously. After 4 months of the placement of the stent, the patient experienced progressive dysphagia, retrosternal pain, and hematemesis. Esophagogastroduodenoscopy (EGD) showed clots in the esophageal lumen. After stent removal, an exophytic mass causing partial stenosis was identified in the mid-esophagus ([Fig. 1]). Histological evaluation revealed only inflammatory changes. Endoscopic ultrasound showed invasion through the muscularis propria, with a nonspecific paraesophageal lymph node. Fine-needle aspiration cytology was also negative for malignancy. Thoracoabdominal computed tomography (CT) showed no distant lesions.
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