Case report of achalasia secondary to a lung carcinoma of the mediastinal type. Issue 7 (1st October 2016)

• Record Type: Journal Article
• Authors: Jian, Hu; Ming, Gong; Shuai, Song; Tianyou, Wang; Dong, Chang
• Is Part Of: Diseases of the esophagus. Volume 29:Issue 7(2016)
• Page Start: 891
• Page End: 893
• Publication Date: 2016-10-01
• Subjects: Esophagus -- Diseases -- Periodicals; 616.32
• DOI: 10.1111/dote.12313
• Languages: English
• ISSNs: 1120-8694

Abstract

Summary: Pseudo- or secondary achalasia may mimic primary achalasia upon radiological examination and may be difficult to diagnose. It is usually due to a cancer or metastases involving the gastroesophageal junction. We present the case of a 53-year-old woman with recent onset of dysphagia, and with typical findings suggesting primary achalasia. We found a 4-cm mediastinal tumor invading the lower esophagus, which was proven to be a metastasis from a lung carcinoma. The patient was treated with surgery, chemotherapy and radiotherapy. In patients with a new onset of achalasia symptoms, keeping in mind the possibility of an underlying cancer is important.