An Unusual Cause of Dysphagia and Melena

Question: A 51-year-old man complained of a dry cough, dysphagia, odynophagia, and melena for 10 months. He had a>30 pack-years smoking history, but did not consume  an excessive amount of alcohol. He had no history of dyspnea, respiratory tract bleeding, or massive hemorrhage of the gastrointestinal tract. No clinically important signs were found during physical examination. Laboratory results exhibited a positive hemoccult stool test and mild anemia (hemogl obin, 107 g/L). The patient was found to have a large, soft tissue density mass in the upper esophagus on a computed tomography scan (Figure A, white arrow).
Source: Gastroenterology - Category: Gastroenterology Authors: Tags: Electronic Clinical Challenges and Images in GI Source Type: research