Painful Dysphagia from Infiltrating Oat Cell Carcinoma

Roark, Gary D.; Schoppe, L. E.

doi:10.1097/00004836-198308000-00009

Cited by 3 publications

(3 citation statements)

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“…Carcinoma of the hypopharynx and larynx may extend to the cervical esophagus in a similar fashion. In most instances when the esophagus is involved by direct tumor extension, the primary site is apparent [2,9,10].…”

Section: Discussionmentioning

confidence: 99%

“…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%

“…Endoscopy and biopsy specimens of metastatic esophageal tumors usually show normal or inflamed mucosa and are reported to be positive for tumor in only 50% of cases [9,15,17,22,[41][42][43]. Because of the increased incidence of esophageal perforation, some authors do not advocate these procedures for patients with a history of breast carcinoma who present with esophageal symptoms and show radiographic evidence of esophageal involvement [43].…”

Section: Discussionmentioning

confidence: 99%

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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%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Secondary neoplasms of the esophagus

Agha

1987

Gastrointest Radiol

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Odynophagia in patients with malignant disorders

Slee

Wagner

McCullough

1985

Cancer

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The differential diagnosis of odynophagia in patients with malignant disorders usually includes esophagitis due to herpes, Candida, or gastroesophageal reflux. Two cases and a review of the literature are presented that illustrate that leukemic infiltration of the esophagus and necrosis of the esophageal mucosa following chemotherapy should be considered in addition to the more commonly recognized causes. Esophagoscopy with biopsy and brushing for fungal stains is essential for the correct diagnosis since the various causes for odynophagia may be clinically and radiographically indistinguishable.

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