Spontaneous Partial Elimination Of A Carcinoma Of The Esophagus
Vergeau, B., Molinie, C., Grandpierre, G., & Vindrios, J. (1991). spontaneous partial elimination of a carcinoma of the esophagus. Gastrointestinal endoscopy, 37(5), 591. https://doi.org/10.1016/s0016-5107(91)70852-3
View Original Source →Case Details
Disease Location
Esophagus
Personal Characteristics
36-year-old man presented with weight loss, fever, and dysphagia. History of heavy alcohol and tobacco use.
Clinical Characteristics
Fiberoptic esophagoscopy showed a pedunculated tumor of the middle part of the esophagus obstructing the lumen; three biopsies were taken and showed only necrotic tissue and intense inflammation. Biopsies of the lesion were consistent with well-differentiated epidermoid carcinoma. The patient underwent a thoraco-abdominal esophagectomy with an esophagogastric anastomosis and pyloroplasty.
Remission Characteristics
The patient noticed a marked and sudden improvement of his dysphagia 13 days after the initial endoscopy. A second endoscopy showed the disappearance of the bulk of the tumor, with a remaining small nodule and esophageal infiltration. The disappearance of the tumor mass was radiologically confirmed by barium x-ray study.
Treatment & Mechanisms
Proposed Remission Mechanisms
Not discussed
Clinical Treatment
Thoraco-abdominal esophagectomy with an esophagogastric anastomosis and pyloroplasty.