Squamous cell carcinoma arising in a Zenker diverticulum

Autor: Francesca Polit, Hisham F Bahmad, Jessica Wahi, Arunima Deb, Kevin Newsome, Lydia Howard, Robert Poppiti, Kfir Ben-David, Sarah Alghamdi
Rok vydání: 2022
Předmět:
Zdroj: Journal of Surgical Case Reports. 2022
ISSN: 2042-8812
DOI: 10.1093/jscr/rjac458
Popis: Squamous cell carcinoma (SCC) arising in a Zenker diverticulum (ZD) is an extremely rare entity. Approximately 50 cases have been reported worldwide. We report a case of a 74-year-old man who presented to our institution with chronic regurgitation, dysphagia and halitosis. The patient was initially seen in 2015 at which point he reported a 10-year history of these symptoms and was diagnosed with ZD. A barium swallow was done revealing a large posterior esophageal diverticulum with significant residual contrast within the diverticulum lumen. Given these findings, he was taken for open surgical excision where a SCC was identified. Although it is extremely rare for a SCC to occur in a ZD, patients with ZD must undergo regular surveillance endoscopy of the esophagus and the diverticulum itself to identify any suspicious mass or lesion arising in within.
Databáze: OpenAIRE