title: Malignant pleural mesothelioma presenting as achalasia.
abstract: A 65-year-old man with an occupational history of asbestos exposure developed dysphagia and vomiting. Clinical examinations at onset revealed a dilated esophagus with smooth narrowing at the gastroesophageal junction and no apparent tumor in and around the esophagus. Achalasia was suspected. Dysphagia progressed gradually and examinations performed three months after the onset disclosed a tumor in the pleural and the peritoneal cavities. At laparotomy, the tumor extended from the pleural cavity into the peritoneal cavity. Histological examination of the biopsied specimen demonstrated malignant mesothelioma. We report the first case of malignant pleural mesothelioma presenting as achalasia.
authors: Department of Gastroenterology and Hepatology, Koshigaya Hospital, Dokkyo University School of Medicine.
authors: H
authors: H
authors: Seki
authors: K
authors: K
authors: Matsumoto
authors: K
authors: K
authors: Ohmura
authors: Y
authors: Y
authors: Fukushi
authors: T
authors: T
authors: Fujita
authors: H
authors: H
authors: Kiriyama
authors: H
authors: H
authors: Takada
authors: K
authors: K
authors: Kamii
authors: H
authors: H
authors: Terada
authors: Y
authors: Y
authors: Mori
mesh_terms: D000368:Aged; D001195:Asbestosis / Q000150:complications*; D004931:Esophageal Achalasia / Q000209:etiology*; D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000150:complications* / Q000175:diagnosis / Q000209:etiology; D010994:Pleura / Q000473:pathology; D010997:Pleural Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000209:etiology