A rare cause of esophageal stricture: undifferentiated carcinoma of the lower esophagus

Authors

  • Anisa Khoiria Department of Otorhinolaryngology Head and Neck Surgery, University of Gadjah Mada, Yogyakarta, Indonesia https://orcid.org/0000-0001-6674-078X
  • Siswanto Sastrowijoto Department of Otorhinolaryngology Head and Neck Surgery, University of Gadjah Mada, Yogyakarta, Indonesia

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20230107

Keywords:

Undifferentiated carcinoma, Esophageal carcinoma, Esophageal stricture, Dysphagia, Chemoradiotherapy

Abstract

Undifferentiated carcinoma of the esophagus (UEC) is an uncommon esophageal malignancy. Patient with UEC has a notably poor prognosis because of extensive metastasis despite at the early stage. A standard treatment regimen for UEC has not yet been established. We reported a case of undifferentiated carcinoma in a 46 years old male with a common chief complaint of progressive dysphagia accompanied by chest discomfort after meal and significant weight loss. Base on the history of illness, physical examination, imaging, and histopathology we concluded that the patient was diagnosed with UEC at the gastroesophageal junction. The patient the received chemoradiotherapy of CDDP + 5-FU along with radiation, but declined the temporary gastrostomy as nutritional intervention. Esophageal undifferentiated carcinomas are rare neoplasms and often associated with locoregional recurrence and/or distant metastasis. Multidisciplinary involvement for the treatment of this disease is necessary to obtain a better outcome.

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Published

2023-01-24

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Section

Case Reports