title: Unusual presentation of cholangiocarcinoma.
abstract: A patient who presented with dysphagia was found to have a cholangiocarcinoma, with metastases in the para-oesophageal lymph nodes. Although dysphagia has been described as a presenting feature of some metastatic carcinomas, to the authors' knowledge, there have been no reports of it as a presenting symptom of a cholangiocarcinoma.
mesh_terms: D002759:Adenoma, Bile Duct / Q000150:complications* / Q000556:secondary; D003680:Deglutition Disorders / Q000209:etiology*; D004940:Esophageal Stenosis / Q000209:etiology; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged