Case #2

Click an information source below to view the case history.

Expand Physical Exam

2 month history of dysphagia and weight loss. Neck: no adenopathy. Abdomen: no masses, non-tender.

Expand Imaging


Esophagogram and UGI: Mass defect in upper third of the esophagus, 3 cm in size; remainder of UGI normal.


Chest X-ray: Normal.


Chest CT: Mucosal thickening within the esophagus c/w malignancy. No hilar or mediastinal adenopathy seen.

Expand Laboratory


LFTs: slightly elevated.

Expand Scopes


EGD with biopsy: Esophageal tumor at 12 cm from the incisors approximately 3.5 cm in size; no disease beyond the upper third of the esophagus.

Expand Pathological Reports


Esophageal biopsy: moderately differentiated squamous cell carcinoma.

Expand Treatment


Radiation: Began beam radiation total dose 3200 cGy to anterior and posterior chest 6MV photons and 3400 cGy to spinal cord 6MV photons