Verrucous carcinoma of the oesophagus and achalasia.
A 67 year old male caucasian clerical worker with a background of long-standing gastro-oesophageal reflux-like dyspepsia and bronchiectasis presented to a tertiary hospital gastroenterology unit with a recent onset of dysphagia. An initial diagnosis of achalasia was made and within 1 year an established verrucous carcinoma of the upper oesophagus had developed. The tumour was inoperable due to tracheal invasion and therefore palliative treatment was given. The patient developed a tracheo-oesophageal fistula and died of pneumonia. Thus, verrucous squamous cell carcinoma of the oesophagus can occur with achalasia.
Roach
E
E
Repatriation General Hospital, Concord, New South Wales, Australia.
Barr
G
G
D000368:Aged; D002291:Carcinoma, Papillary / Q000150:complications* / Q000453:epidemiology; D004931:Esophageal Achalasia / Q000150:complications* / Q000453:epidemiology; D004938:Esophageal Neoplasms / Q000150:complications* / Q000453:epidemiology; D006801:Humans; D008297:Male; D009517:New South Wales / Q000453:epidemiology