Esophageal malignancy encompasses a group of diseases that are mostly represented by the squamous cell carcinoma and the adenocarcinoma. Quite frequently, these neoplasms present aggressive behavior; therefore, the diagnosis is often made when the condition is in advanced stages. Dysphagia is the typical clinical complaint, although it is present only when most of the lumen is obstructed. Therefore, quite often, the metastatic disease is first diagnosed, which contributes to the patient's poor survival expectancy. The authors report the case of a 58-year-old man who looked for medical care complaining of a long-term history of scapular pain. The diagnostic work-up disclosed a cervical spine lytic lesion surrounded by a tumoral mass shown by computed tomography. The cervical tumor was sampled by fine needle aspiration, revealing an undifferentiated carcinoma. The outcome was unfavorable and the patient died. The autopsy findings revealed metastatic disease to the spine and central nervous system, and the primary tumor was found to be an esophageal squamous cell carcinoma, which had progressed without typical dysphagia.
HenriquesAC, PezolloS, FaureMG, LuzLT, GodinhoCA, SperanziniMB. Tubo gástrico isoperistáltico no tratamento paliativo do carcinoma irressecável do esôfago. Rev Col Bras Cir. 2001;28(6):408-13. [https://doi.org/10.1590/S0100-69912001000600005].
ThulerFP, ForonesNM, FerrariAP. Neoplasia avançada de esôfago: diagnóstico ainda muito tardio. Arq Gastroenterol. 2006;43(3):206-11.
BarrosSG, GhisolfiES, LuzLP, BarlemGG, VidalRM, WolffFH, et al. Mate (chimarrão) é consumido em alta temperatura por população sob risco para o carcinoma epidermóide de esôfago. Arq Gastroenterol. 2000;37(1):25-30. [https://doi.org/10.1590/S0004-28032000000100006]. [PMID:10962624]
SiameJL, DuquesneB, CocheteuxP. [Atypical metastases disclosing cancer of the esophagus. Apropos of 3 cases]. Sem Hop. 1983;59(15):1191-4. [PMID:6306796].
QueirogaRC, PernambucoAP. Câncer de esôfago: epidemiologia, diagnóstico e tratamento. Rev Bras Cancerol. 2006;52:173-8.
JustinoPB, CarvalhoHA, FeraucheD, RosR. Planejamento tridimensional para radioterapia de tumores de esôfago: comparação de técnicas de tratamento e análise de probabilidade de complicações. Rev Radiologia Brasileira. 2003;36:157-62.
GoPH, KlaassenZ, MeadowsMC, ChamberlainRS. Gastrointestinal cancer and brain metastasis: a rare and ominous sign. Cancer. 2011;117(16):3630-40. [https://doi.org/10.1002/cncr.25940]. [PMID:21319152]
OgawaK, ToitaT, SueyamaH, FuwaN, KakinohanaY, KamataM, et al. Brain metastases from esophageal carcinoma: natural history, prognostic factors, and outcome. Cancer. 2002;94(3):759-64. [https://doi.org/10.1002/cncr.10271]. [PMID:11857310]
Instituto Nacional de Câncer (INCA). Estimativa da Incidência de Câncer para 2008 no Brasil e nas cinco Regiões. Rio de Janeiro. Available from: http://www.inca.gov.br/conteudo_view.asp?id=1793.
MonteiroNML, AraújoDF, Basste-SoaresE, VieiraJPFB, SantosMRM, OliveiraPPLJr, et al. Cancer de esôfago: Perfil das manifestações clínicas, histologia, localização e comportamento metastático em pacientes submetidos a tratamento oncológico em um centro de referência de Minas Gerais. Rev Bras Cancerol. 2009;55:27-32.
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