Achalasia of the esophagus in association with renal cell carcinoma.
A case of secondary achalasia due to renal cell carcinoma is presented. The patient presented with typical clinical, radiologic, and manometric features of achalasia, and was found to have a renal cell carcinoma with metastases to lymph nodes in the region of the cardioesophageal junction. Direct esophageal involvement could not be demonstrated, however. Complete symptomatic remission was obtained with a single hydrostatic balloon dilatation of the cardioesophageal junction and was maintained until the patient's death 7 months later, perhaps as a result of regression of paraesophageal nodal metastases following radiotherapy, immunotherapy, and chemotherapy.
Manela
F D
FD
Department of Internal Medicine, University of Nebraska Medical Center, Omaha.
Quigley
E M
EM
Paustian
F F
FF
Taylor
R J
RJ
D002292:Carcinoma, Renal Cell / Q000150:complications* / Q000556:secondary; D002404:Catheterization; D004931:Esophageal Achalasia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications* / Q000473:pathology; D008297:Male; D008875:Middle Aged