Primary adenocarcinoma of the upper esophagus: A rare presentation

Nour Ghammem; Yosr Zenzri; Ghada Sahraoui; Haythem Yacoub; Saida Sakhri; Amel Mezlini

doi:10.1016/j.ijscr.2023.108970

Primary adenocarcinoma of the upper esophagus: A rare presentation

Int J Surg Case Rep. 2023 Dec:113:108970. doi: 10.1016/j.ijscr.2023.108970. Epub 2023 Nov 10.

Authors

Nour Ghammem¹, Yosr Zenzri², Ghada Sahraoui³, Haythem Yacoub⁴, Saida Sakhri⁵, Amel Mezlini⁶

Affiliations

¹ Oncology Department, Salah Azaiez Institute, El Manar University, Faculty Of Medicine Of Tunis, Tunis, Tunisia.
² Oncology Department, Salah Azaiez Institute, El Manar University, Faculty Of Medicine Of Tunis, Tunis, Tunisia. Electronic address: yosr-zenzri@live.fr.
³ Pathology Department, Salah Azaiez Institute, El Manar University, Faculty Of Medicine Of Tunis, Tunis, Tunisia.
⁴ Gastroenterology Department, La Rabta Hospital, El Manar University, Faculty Of Medicine Of Tunis, Tunis, Tunisia.
⁵ Surgical Oncology Department, Salah Azaiez Institute, El Manar University, Faculty Of Medicine Of Tunis, Tunis, Tunisia. Electronic address: saida.sakhri@fmt.utm.tn.
⁶ Oncology Department, Salah Azaiez Institute, El Manar University, Faculty Of Medicine Of Tunis, Tunis, Tunisia. Electronic address: amel.mezline@rns.tn.

Abstract

Introduction and importance: Cervical esophageal cancer is a rare condition, accounting for less than 5 % of all esophageal malignancies.

Case presentation: We report here a case of a 65-year-old female patient with a history of breast cancer diagnosed in 1985 treated with surgery, adjuvant chemotherapy, and radiotherapy. This woman presented with chronic organic high dysphagia to both solid and liquids and food impaction. Gastroscopy showed a stenosing esophageal budding tumor located at 20 cm from the incisors. Histological examination showed a well-differentiated adenocarcinoma.

Clinical discussion: The diagnosis of primary adenocarcinoma of the upper esophagus is based on a combination of clinical presentation, imaging studies, and confirmed by histopathological examination. Upper digestive endoscopy is the gold standard for the diagnosis of esophageal cancer.

Conclusion: Primary adenocarcinoma of the upper esophagus is a rare form of esophageal cancer.

Keywords: Adenocarcinoma; Cervical esophagus; Chemotherapy.

Publication types

Case Reports