An Uncommon Malignancy of the Esophagus

Abstract

Question: A previously healthy, 56-year-old man visited our hospital with a 2-month history of dysphagia. The patient's past medical history was unremarkable. He denied a recent history of weight loss, reflux symptoms, or food impaction. Laboratory and physical test results revealed no abnormalities. Barium swallow esophagogram showed dilatation of the esophagus with a filling defect, approximately 7 cm long, in the intrathoracic esophagus (Figure 1A). Endoscopy also revealed an elastic and large polypoid tumor occupying the almost whole lumen in the mid-esophagus (Figure B).