Difference between revisions of "IPLab:Lab 7:Esophagus SCC"

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(Clinical Summary)
 
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Approximately six months prior to admission, this 78-year-old male began having difficulty in swallowing solid food. This difficulty was described as a sticking of the food in his throat and was accompanied by cramping pain which could only be relieved by "coughing up" the ingested food. This dysphagia was accompanied by a twenty-pound weight loss. Following an upper GI series and endoscopic biopsy, the patient was given radiation treatment with considerable improvement. He did well for four months, after which the dysphagia and weight loss increased markedly. He refused operative intervention or further treatment and he died at home two months later.
 
Approximately six months prior to admission, this 78-year-old male began having difficulty in swallowing solid food. This difficulty was described as a sticking of the food in his throat and was accompanied by cramping pain which could only be relieved by "coughing up" the ingested food. This dysphagia was accompanied by a twenty-pound weight loss. Following an upper GI series and endoscopic biopsy, the patient was given radiation treatment with considerable improvement. He did well for four months, after which the dysphagia and weight loss increased markedly. He refused operative intervention or further treatment and he died at home two months later.
  
== Autopsy Findings ==
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An autopsy revealed a circumferential fungating mass in the distal third of the esophagus. This mass partially occluded the lumen of the esophagus.
An autopsy revealed a circumferential fungating mass in the distal third of the esophagus. This mass partially occluded the lumen of the esophagus.  
 
  
 
== Images ==
 
== Images ==
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=== Journal Articles ===
 
=== Journal Articles ===
 
* Shibata H, Matsubara O.  [http://www.ncbi.nlm.nih.gov/pubmed/11472561 Apoptosis as an independent prognostic indicator in squamous cell carcinoma of the esophagus].  ''Pathol Int'' 2001 Jul;51(7):498-503.
 
* Shibata H, Matsubara O.  [http://www.ncbi.nlm.nih.gov/pubmed/11472561 Apoptosis as an independent prognostic indicator in squamous cell carcinoma of the esophagus].  ''Pathol Int'' 2001 Jul;51(7):498-503.
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* Wu S, Powers S, Zhu W, Hannun YA.  [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4836858/ Substantial contribution of extrinsic risk factors to cancer development].  ''Nature'' 2016 Jan 7; 529(7584): 43–47.
  
 
=== Images ===
 
=== Images ===

Latest revision as of 01:11, 9 July 2020

Clinical Summary[edit]

Approximately six months prior to admission, this 78-year-old male began having difficulty in swallowing solid food. This difficulty was described as a sticking of the food in his throat and was accompanied by cramping pain which could only be relieved by "coughing up" the ingested food. This dysphagia was accompanied by a twenty-pound weight loss. Following an upper GI series and endoscopic biopsy, the patient was given radiation treatment with considerable improvement. He did well for four months, after which the dysphagia and weight loss increased markedly. He refused operative intervention or further treatment and he died at home two months later.

An autopsy revealed a circumferential fungating mass in the distal third of the esophagus. This mass partially occluded the lumen of the esophagus.

Images[edit]

Virtual Microscopy[edit]

Study Questions[edit]


Additional Resources[edit]

Reference[edit]

Journal Articles[edit]

Images[edit]

Related IPLab Cases[edit]

An upper GI series is a series of barium-aided radiographs involving the esophagus, stomach, and duodenum.