Esophageal Stricture with Suspected Malignancy in a 60-Year-Old Woman

Case at a Glance

A 60-year-old female presented for upper endoscopy which revealed a stricturing esophageal tumor at 31cm from the incisors with malignant appearance, requiring further diagnostic workup.

Patient's Story

The patient underwent scheduled upper endoscopy as part of diagnostic evaluation. Family members expressed concern about the findings and prognosis following the procedure.

Initial Assessment

Upper endoscopy was performed with normal intubation. A semi-circumferential tumor/mass was identified at 31cm from the incisors causing esophageal stricture. The scope was not passable beyond this point due to the obstruction.

The Diagnostic Journey

Endoscopic findings revealed a single stricturing esophageal tumor with malignant appearance and no active bleeding. Multiple biopsies were obtained from the lesion to rule out malignancy and dysplasia. Minor oozing occurred post-biopsy but hemostasis was achieved with water irrigation. CT thorax, abdomen, and pelvis (CTTAP) was ordered for staging, along with referrals to upper gastrointestinal clinical nurse specialist and multidisciplinary team.

Final Diagnosis

Esophageal tumor (suspected malignant) - pending histopathological confirmation and imaging studies for staging

Treatment Plan

Awaiting biopsy results for histological confirmation. CT imaging scheduled for staging and disease extent evaluation. Multidisciplinary team referral initiated for comprehensive treatment planning once diagnosis is confirmed.

Outcome and Follow-up

Patient and family counseled about findings and need for further testing. Biopsy results and imaging studies pending to determine definitive diagnosis and staging. Follow-up appointments scheduled with oncology team pending results. Family educated about avoiding internet searches and focusing questions for upcoming medical consultations.