Primary Squamous Cell Carcinoma of the Liver Initially Presenting with Pseudoachalasia.
- Author:
Mun Ki CHOI
1
;
Gwang Ha KIM
;
Geun Am SONG
;
Hyung Seok NAM
;
Yang Seon YI
;
Kang Hee AHN
;
Suk KIM
;
Joo Yeun KIM
;
Do Youn PARK
Author Information
1. Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea. doc0224@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Esophageal achalasia;
Squamous cell carcinoma;
Liver
- MeSH:
Abdomen;
Biopsy, Fine-Needle;
Carcinoma, Squamous Cell;
Deglutition Disorders;
Endoscopy, Digestive System;
Endosonography;
Esophageal Achalasia;
Esophagogastric Junction;
Esophagus;
Humans;
Liver;
Middle Aged;
Thorax;
Weight Loss
- From:Gut and Liver
2012;6(2):275-279
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pseudoachalasia secondary to primary squamous cell carcinoma (SCC) of the liver is extremely rare and has not been reported until now. Here, we report a unique case of primary SCC of the liver initially presenting with progressive dysphagia along with short periods of significant weight loss. A 58-year-old man initially presented with progressive dysphagia along with significant weight loss over brief periods of time. The radiographic and manometric findings were consistent with achalasia. Subsequent esophagogastroduodenoscopy revealed a moderately dilated esophagus without evidence of neoplasm or organic obstruction. However, firm resistance was encountered while traversing the esophagogastric junction (EGJ), although no mucosal lesion was identified. Due to the clinical suspicion of the presence of a malignant tumor, endoscopic ultrasonography (EUS) and computed tomography scans of the chest and abdomen were obtained. A huge hepatic mass with irregular margins extending to the EGJ was found. EUS-guided fine-needle aspiration was performed, and the mass was diagnosed as a primary SCC of the liver by immunohistochemical staining.
