title: Risk of Confusion: Detection of a Circular Thickness of the Wall in the Lower Part of the Esophagus.
abstract: We report a case of a woman with a gastrointestinal bleeding. An esophageal ulcer was detected in the endoscopy, however a histological malignancy could not be found. A computer tomography (CT) scan showed a thickness in the distal esophagus and enlarged lymph nodes, so a malignancy was highly suspected. However, the patient refused to follow the recommended clinical procedure of a surgical intervention. Four years later a carcinoma could be ruled out because of follow-up examinations.
authors.affiliation: Department of General Internal and Psychosomatic Medicine, University of Heidelberg, Medical University Hospital, Heidelberg, Germany.
authors.forename: Achim
authors.initials: A
authors.lastname: Hochlehnert
authors.affiliation: National Center for Tumor diseases (NCT), University of Heidelberg, Germany.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Lorenzen
authors.affiliation: Department of Radiology, University of Heidelberg, Medical University Hospital, Heidelberg, Germany.
authors.forename: Peter
authors.initials: P
authors.lastname: Hallscheidt
authors.affiliation: Johanna Etienne Klinik, Neuss, Germany.
authors.forename: Jens
authors.initials: J
authors.lastname: Encke
authors.affiliation: Department of Gastroenterology, University of Heidelberg, Medical University Hospital, Heidelberg, Germany.
authors.forename: Robert
authors.initials: R
authors.lastname: Ehehalt
keywords: CT scan; Carcinoma of the esophagus; Endoscopy