Pectoralis Major Metastasis of Esophageal Adenocarcinoma: An Unusual Site

Abstract

Esophageal cancer is a tumor of poor prognosis and its most common sites of metastases are lymph nodes, lung, liver and bones. However, it has also been reported some unexpected metastasis to uncommon sites which has consequently affected the pathway of diagnosis, management and staging. We report the case of a 31year old man patient with history of dysphagia, weight loss and induration in the left pectoral region. Endoscopic, radiological and pathological examination confirmed the diagnosis of Esophageal adenocarcinoma with pectoralis major metastasis. The patient was qualified for radiotherapy and concurrent systemic chemotherapy. Unfortunately, the patient died 3 months after the first CRT.