title: Paraneoplastic oesophageal dysmotility-renal cell carcinoma presenting as dysphagia: a case report.
abstract: BACKGROUND
  Dysphagia and weight loss are alarming symptoms that warrant urgent assessment.
  
  
  METHODS
  We present a case report of dysphagia secondary to oesophageal dysmotility attributed to a paraneoplastic manifestation of an occult renal cell carcinoma.
  
  
  CONCLUSIONS
  We believe this patient's dysphagia was a paraneoplastic manifestation of the renal cell tumour, an association that has never been previously reported. This case demonstrates the need to look for alternative causes for dysphagia if initial investigation and treatment are unhelpful. Importantly, this must include the consideration of a paraneoplastic process secondary to an occult neoplasm.
authors.affiliation: Department of Gastroenterology, Rochdale Infirmary, Whitehall Street, Rochdale, Lancashire, OL12 0NB, UK. maheshbhalme@googlemail.com
authors.forename: Mahesh D
authors.initials: MD
authors.lastname: Bhalme
authors.forename: Scott E
authors.initials: SE
authors.lastname: Levison
authors.forename: Gurvinder S
authors.initials: GS
authors.lastname: Banait