One of the most aggressive cancers and malignant is that
of the esophagus.Survival is rare.
In El Salvador is not frequent but we often observed , within our collection
of video endoscopy we found several cases of primary , (Squamus
cell carcinoma) this tumor are related to people who smoke and abuse
of alcoholic drinks. Adenocarcinoma of the lower third is most frecuently.
Lye ingestion has been implicated as a risk factor of cancer of
Dysphagia is the classic symptom of esophageal carcinoma, It usually
progresses gradually from difficulty with intake of solid food
to soft foods and eventually to the inability to swallow liquids although
esophageal cancer most often develops during the seventh decade of life,
any adult with dysphagia should be presumed to have esophageal cancer
until it is rule out.
Pain is common, usually located in the back or substernally; it is constant,
ranges from mild to severe,and usually indicates extension of the tumor.Coughing
is a common complaint and is most often secondary to aspiration although
a tracheo- esophageal fistula may be present.Chronic heartburn may
lead to a condition called Barrett's Esophagus which increases
the risk of cancer 40-fold developing adenocarcinoma of the cardias and
lower esophagus see gastric
|The outcome of esophageal cancer is strongly associated
with its stage. As a result, accurate clinical staging is critical
for selecting an appropriate treatment option. Staging usually begins
with a CT scan to evaluate for the presence of metastatic disease.
Patients without evidence of metastatic disease by CT frequently undergo
endoscopic ultrasonography (EUS), which uses a high frequency ultrasound
transducer to provide detailed images of esophageal masses and their
relationship with the five-layered structure of the esophageal wall.
as in this chapter and the clinical cases display here are of that Squamous
Esophageal Squamous Cell Carcinoma.
Ulcerating Squamous cell carcinoma of the lower end of the esophagus.
This 72 year-old female, presented with progressive dysphagia.
Esophageal Squamous Cell Carcinoma of the the upper third of the Esophagus.
This 83 year-old male who was referred to our endoscopic
unit by the same otorhinolaryngologist that send to us the
patient described in the previous endoscopic sequence,
both patient were referred in less than a month living in the
same small city . This patient has a long history of chewing
tobacco and heavy alcoholism.
|Small cell carcinoma of the lung that invades the upper and the middle third of the Esophagus.
This view is from the upper esophageal sphincter.
Small cell carcinoma: This tumor usually arises close to
the hilum. Is the most malignant lung cancer and is
composed of oat cells which are smaller than tumor cells
found in the squamous cell carcinoma and adenocarcinoma.
The tumor cells have little cytoplasm, are arranged in
clusters and nests, show arefactual smearing after
processing, do not show evidence of squamous or glandular
differentiation and have neurosecretory granules. The
neurosecretory granules may be identified at the
ultrastructural level or by immunohistochemical
demonstration of chromogranin or synaptophysin. This is
the type of the tumor that is associated with paraneoplastic
the image to see the video.
Esophagus Carcinoma of the middle third , 45 years-
old woman , with progressive dysphasia (difficulty of swallowing)
to solids, she was found to have this firm, mid esophageal mass
she refused the surgery and dies 15 days after the diagnosis.
Esophageal Squamous Cell Carcinoma
67 years old female, with progressive dysphasia At the level of the middle
third, these raised mass lesion can be observed ulcerated area and another
mass nearby (left) , she had palpable abdominal metastasis. Esophageal
Squamous Cell Carcinoma
Squamous cell carcinoma of the cardias.
82 yeas old man French. With progressive dysphagia (difficulty swallowing)
to solids, who was found to have this firm superior third mass, causing
high-grade obstruction of the esophageal lumen. Cancer caused esophageal
perforation and mediastinitis.
Esophageal Squamous Cell Carcinoma
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