An unusual case: Pseudoachalasia caused by metastatic ovarian cancer

Huang, Jialiang; Xu, Liming; Cheng, Guangfeng; Wu, Wenbin; Tang, Wen; Xu, Longjiang; Hu, Duanmin

doi:10.4103/eus-d-20-00217

Cited by 1 publication

(2 citation statements)

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“…In general, endoscopic biopsy specimens can be negative because the mucosa is not often affected at the beginning of the process [3, 6] as is the case in our patient. However, the esophagus has lymphatics that extend into the lamina propria, as opposed to stopping at the submucosa.…”

Section: Discussionmentioning

confidence: 90%

“…There are two case reports in the literature describing esophageal involvement in ovarian cancer: a singular case of pseudoachalasia by a metastatic lesion in the gastro-esophageal junction [6] and another case of a single middle esophageal recurrence that was managed with secondary cytoreduction surgery consisting of transhiatal resection with cervical esophagogastric anastomosis [2].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Esophageal Infiltration by High-Grade Serous Ovarian Carcinoma: A Very Rare Case Report

Carbó-Bagué,

Cerón-Nasarre,

Valls-Masot

et al. 2023

Case Rep Oncol

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Introduction: Esophageal involvement in high-grade serous ovarian carcinoma is a rare phenomenon when advanced systemic disease is detected. Dysphagia is the most common guide symptom. However, diagnosis is often delayed due to its submucosal process that is not early seen in endoscopic initial evaluation, while computerized tomography (CT) scan usually shows concentric thickening of the esophageal layers and gives the suspected diagnosis. Case Presentation: We present the case of a patient who died of mediastinitis caused by an esophageal perforated ulceration due to infiltration of high-grade serous ovarian carcinoma. In addition, this is the first case report of severe esophageal candidiasis associated that delayed diagnosis and subsequent oncological treatment. Conclusion: Esophageal secondary infiltration must be suspected when a patient has a history of malignancy combined with consistent CT findings.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%