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Dysphagia

, Volume 33, Issue 3, pp 399–402 | Cite as

A Smooth Esophageal Stricture Causing Dysphagia

  • Edoardo Forti
  • Giulia Bonato
  • Lorenzo Dioscoridi
  • Marcello Cintolo
  • Francesco Pugliese
  • Laura Cristoferi
  • Alberto Tringali
  • Valentina Caputo
  • Valentina Motta
  • Massimo Domenico Torre
  • Serena Conforti
  • Massimiliano Mutignani
Clinical Conundrum
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Abstract

Dysphagia in patients with lung cancer is usually due to direct invasion from bronchogenic carcinomas or nodal localizations, while metastases from distant lung neoplasms are considered rare. We report a case of a smooth esophageal narrowing secondary to intramural metastasis from pulmonary adenocarcinoma in a patient with no previous history of neoplasia. Since standard linear echoendoscope could not overpass the malignant stricture, we obtained a histological diagnosis by fine-needle aspiration biopsy using an echobronchoscope (EBUS), due to its lower diameter. The EBUS scope represents a valuable tool to obtain cytological specimens in patients with esophageal strictures.

Keywords

Esophageal stenosis Esophageal stricture Fine-needle aspiration Endoultrasonography Lung cancer Metastasis 

Notes

Compliance with Ethical Standards

Conflicts of interest

The authors declare that they have no conflicts of interest.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Edoardo Forti
    • 1
  • Giulia Bonato
    • 1
    • 2
  • Lorenzo Dioscoridi
    • 1
  • Marcello Cintolo
    • 1
  • Francesco Pugliese
    • 1
  • Laura Cristoferi
    • 1
    • 2
  • Alberto Tringali
    • 1
  • Valentina Caputo
    • 3
  • Valentina Motta
    • 3
  • Massimo Domenico Torre
    • 4
  • Serena Conforti
    • 4
  • Massimiliano Mutignani
    • 1
  1. 1.Digestive and Interventional Endoscopy UnitASST Grande Ospedale Metropolitano NiguardaMilanItaly
  2. 2.Division of Gastroenterology, Department of Medicine and SurgeryUniversity of Milan-BicoccaMilanItaly
  3. 3.Surgical Pathology Unit, Department of Laboratory MedicineASST Grande Ospedale Metropolitano NiguardaMilanItaly
  4. 4.Thoracic Surgery UnitASST Grande Ospedale Metropolitano NiguardaMilanItaly

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