Abstract
Esophageal cancer is the eighth most common cancer worldwide. The most common sites of distant metastasis of esophageal cancer are the liver, distant lymph nodes, and the lungs. Metastasis to the bone is uncommon and the prognosis is poor. The authors describe a case of a 54-year old-man whose presentation of back pain with neuropathy and hoarseness of his voice led to the diagnosis of esophageal cancer with metastasis to his spine. Due to the patient's poor prognosis, the patient was referred to oncology for radiation and chemotherapy in addition to pain management. This unique case presents the insidious onset of symptoms associated with spinal metastasis.
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