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E. Tozkoparan
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P3.08 - Poster Session/ Thymoma, Mesothelioma and Other Thoracic Malignancies (ID 226)
- Event: WCLC 2015
- Type: Poster
- Track: Thymoma, Mesothelioma and Other Thoracic Malignancies
- Presentations: 1
- Moderators:
- Coordinates: 9/09/2015, 09:30 - 17:00, Exhibit Hall (Hall B+C)
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P3.08-030 - Bronchoscopic Diagnosis of Esophageal Carcinoma Mimicking Lung Cancer (ID 257)
09:30 - 09:30 | Author(s): E. Tozkoparan
- Abstract
Background:
Esophageal cancers are usually determined by examining the etiology of symptoms. Diagnosis in people without symptoms is rare and usually incidental. Although the most common symptom of esophageal cancer is dysphagia, in some cases clinical presentation can be different or misleading. Nevertheless, most esophageal cancers do not cause symptoms until they have reached an advanced stage. Here, we present an esophageal cancer case which suggests pulmonary malignancy with the clinical presentation.
Methods:
‘not applicable’
Results:
68-year-old male admitted our clinic with loss of appetite, weight loss and chest pain complaints. He had a smoking history of 30 packs/year. He was using LABA + ICS because of COPD. He told that his complaints had started 6 months before and gradually progressed. Because of the bilateraly suspicious hilar enlargement in chest X-ray, thorax CT examination was performed. In thorax CT, a conglomerate lesion, extending from subcarinal area to the posterior aspect of trachea, was observed. A clear distinction of lymphadenopathy/soft tissue could not be made. Diagnostic EBUS (endobronchial ultrasound) was performed to the patient under general anesthesia. During the process, a lesion protruded into the tracheal lumen with irregular surface was observed and biopsy was taken from this area. Also, EBUS guided biopsies were taken from the soft tissue lesions observed in thorax CT. In PET-CT of the patient, which was performed after this procedure, increased focal FDG uptake (SUWmax: 27.1) in the relevant field was observed without increased uptake elsewhere. Histopathological evaluations of these biopsies have been reported as esophageal squamous cell carcinoma. Subsequently, endoscopy was performed by gastroenterologists. In the course ofˈd(y)o͝oriNG endoscopy process, an ulcerated lesion, 1.5 cm in diameter and obstructing approximately 1/3 of the lumen, was observed on esophageal Z line at 44th cm from the incisors. The results of the biopsies taken from this area were also reported as esophageal squamous cell carcinoma. Thereafter, the patient was referred to Medical Oncology Department for oncologic treatment and follow-up.
Conclusion:
We shared this case in terms of being an informative example for local metastasis of esophageal malignancies presented with pulmonary symptoms which must be considered in differential diagnosis of intrathoracic masses.
