Carcinoma of the Lung and Dysphagia

Stankey, Robert M.; Roshe, Joseph; Sogocio, Romeo M.

doi:10.1378/chest.55.1.13

Cited by 23 publications

(12 citation statements)

References 8 publications

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“…There are very few early signs of invasion of the esophageal wall from without and of metastatic intramural growth. Dysphagia may be a patient's first symptom of metastatic carcinoma of pulmonary origin [9,10,32]. Occasionally, dysphagia may be a presenting symptom in tumors of nonpulmonary origin [3,4,19,33].…”

Section: Discussionmentioning

confidence: 99%

Secondary neoplasms of the esophagus

Agha

1987

Gastrointest Radiol

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A review of 62 cases of esophageal involvement by secondary neoplasms is reported. The common routes of esophageal involvement are by direct extension of the tumor from the contiguous or adjacent organs (45.2%), via mediastinal nodes (35.5%), and hematogenous spread from a distant primary (19.3%). In the first 2 modes of esophageal involvement, the diagnosis is usually obvious but hematogenous metastases to the esophagus usually pose a diagnostic challenge. Radiologically, hematogenous metastases show a spectrum of features consisting of a short segment of progressive stricture with normal to minimally irregular mucosa, a submucosal mass with or without ulceration, a polypoid mass or masses, and defects in esophageal motility including secondary achalasia. Since endoscopy and biopsy have limited diagnostic yield, radiologic diagnosis plays a key role in the diagnosis of secondary neoplasms of the esophagus irrespective of their mode of spread to the esophagus.

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Section: Discussionmentioning

confidence: 99%

Secondary neoplasms of the esophagus

Agha

1987

Gastrointest Radiol

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“…In reviewing 509 patients, Sabour et al 121 reported 1.7% of these patients' presenting symptoms were dysphagia. This is usually caused by invasion of the mediastinum, resulting in displacement or compression of the esophagus, or direct extension of the tumor into the esophagus [3,4]. Sabour et al 121 observed that dysphagia was noted only in patients who presented clinically as mediastinal obstruction and in these cases it was accompanied by hoarseness.…”

Section: Discussionmentioning

confidence: 99%

“…Roughly 1 to 2% of the patients with lung carcinoma present with dysphagia as the initial symptom [ 1,2]. This is usually caused by invasion of the mediastinum with tumor, resulting in displacement or compression of the esophagus, or direct invasion of the esophagus by the tumor [3,4].…”

Section: Introductionmentioning

confidence: 99%

Esophageal metastasis from a peripheral lung carcinoma masquerading as a primary esophageal tumor

Inoshita

Youngberg

Koos

1983

Journal of Surgical Oncology

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A 65-year-old man presented with progressive dysphagia, which proved to be the first clinical manifestation of a peripheral lung carcinoma (secondary to a submucosal metastasis in the esophagus). The lung tumor, hidden by the diaphragm on chest x-ray, was not suspected until a thoracotomy was done. Although dysphagia is known to be the first manifestation of bronchogenic carcinomas, such presentation in a case of a peripheral lung carcinoma has not been well described. This case is reported with a review of the literature for cases with dysphagia secondary to a metastatic tumor in the esophagus.

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“…One study of 405 patients reported an incidence of 2.2 percent. 58 Dysphagia is likely to occur when the esophageal wall is involved by bronchogenic neoplasm (Fig. 2).…”

Section: Symptoms From Intrathoracic Extensionmentioning

confidence: 99%