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 the esophagus.
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 cancer.

as in this chapter and the clinical cases display here are of that Squamous cell carcinoma.

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  syndromes.

Click 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 .
For more endoscopic details please download the video clip by clicking on the image, to appreciate in full screen first wait to be downloaded complete and press on the media a click and press Alt And enter.