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01-06-2018 | Clinical Conundrum

A Smooth Esophageal Stricture Causing Dysphagia

Authors: Edoardo Forti, Giulia Bonato, Lorenzo Dioscoridi, Marcello Cintolo, Francesco Pugliese, Laura Cristoferi, Alberto Tringali, Valentina Caputo, Valentina Motta, Massimo Domenico Torre, Serena Conforti, Massimiliano Mutignani

Published in: Dysphagia | Issue 3/2018

Abstract

Dysphagia in patients with lung cancer is usually due to direct invasion from bronchogenic carcinomas or nodal localizations, while metastases from distant lung neoplasms are considered rare. We report a case of a smooth esophageal narrowing secondary to intramural metastasis from pulmonary adenocarcinoma in a patient with no previous history of neoplasia. Since standard linear echoendoscope could not overpass the malignant stricture, we obtained a histological diagnosis by fine-needle aspiration biopsy using an echobronchoscope (EBUS), due to its lower diameter. The EBUS scope represents a valuable tool to obtain cytological specimens in patients with esophageal strictures.

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Antler AS, Ough Y, Pitchumoni CS, Davidian M, Thelmo W. Gastrointestinal metastases from malignant tumors of the lung. Cancer. 1982;49:170–2.CrossRefPubMed

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Buxbaum JL, Eloubeidi MA. Transgastric endoscopic ultrasound (EUS) guided fine needle aspiration (FNA) in patients with esophageal narrowing using the ultrasonic bronchovideoscope. Dis Esophagus. 2011;24:458–61. https://doi.org/10.1111/j.1442-2050.2011.01179.CrossRefPubMed

Title: A Smooth Esophageal Stricture Causing Dysphagia
Authors: Edoardo Forti
Giulia Bonato
Lorenzo Dioscoridi
Marcello Cintolo
Francesco Pugliese
Laura Cristoferi
Alberto Tringali
Valentina Caputo
Valentina Motta
Massimo Domenico Torre
Serena Conforti
Massimiliano Mutignani
Publication date: 01-06-2018
Publisher: Springer US
Published in: Dysphagia / Issue 3/2018
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI: https://doi.org/10.1007/s00455-018-9891-x

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A Smooth Esophageal Stricture Causing Dysphagia

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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