Diffuse esophageal papillomatosis complicated by squamous cell carcinoma

A 47-year-old male non-smoker, with a history of myotonic dystrophy, was referred to our endoscopy department following progressive dysphagia and significant weight loss. Esophagogastroduodenoscopy revealed a superficially spreading verrucous growth, extending downward for approximately 10  cm (Fig. 1). Furthermore, a separate proximal ulcerating mass was identified, located 2 cm distally of the upper esophageal sphincter. Staging with positron emission tomography (PET) revealed an ill-defined mass originating from the proximal esophagus with several enlarged para-esophageal lymph nodes (Fig.
Source: Digestive and Liver Disease - Category: Gastroenterology Authors: Tags: Image of the Month Source Type: research