Metastatic Oesophagus Carcinoma Presented with Neck and Arm Pain: A Case Report

Özlem Demircioğlu, Berat Meryem Alkan, Fatma Fidan, Aliye Tosun, Selami Akkuş

PMR Clinic, Atatürk Educational and Research Hospital, Ankara, Turkey.
PMR Clinic, Y?ld?r?m Beyaz?t University, Ankara, Turkey.

DOI: 10.4236/crcm.2014.34053                

Abstract

Oesophageal carcinoma is among malignancies with poor prognosis due to the late onset symptoms related with large submucosal involvement, early lymphatic metastasis and its multicentric characteristics, majority of the patients decrease within the first year of diagnosis. However, bone metastasis is uncommon and reported to be 1% to 14% in autopsy series. Herein we report a case that was admitted to our outpatient clinics with severe neck and arm pain as presenting symptoms and diagnosed as metastatic oesophageal carcinoma afterwards.

Keywords

Oesophageal Carcinoma, Metastasis, Bone Metastasis

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Enzinger, P.C. and Mayer, R.J. (2003) Medical Progress: Oesophageal Cancer. New England Journal of Medicine, 23, 2241-2252. http://dx.doi.org/10.1056/NEJMra035010
[2]	Daly, J.M., Fry, W.A., Little, A.G., et al. (2000) Esophageal Cancer: Results of an American College of Surgeons Patient Care Evaluation Study. Journal of the American College of Surgeons, 190, 562-572.
[3]	Moses, F.M. (1991) Squamous Cell Carcinoma of the Esophagus, Natural History, Incidence, Etiology, and Complications. Gastroenterology Clinics of North America, 4, 703-716.
[4]	Pisani, P., Parkin, D.M., Bray, F. and Ferlay, J. (1999) Estimates of the Worldwide Mortality from 25 Cancers in 1990. International Journal of Cancer, 83, 18-29. http://dx.doi.org/10.1002/(SICI)1097-0215(19990924)83:1<18::AID-IJC5>3.0.CO;2-M
[5]	Layke, J.C. and Lopez, P.P. (2006) Esophageal Cancer: A Review and Update. American Family Physician, 73, 2187-2194.
[6]	Vazquez-Serequez, E., Norton, I.D., Clain, J.E., et al. (2001) Impact of EUS-Guided Fine Needle Aspiration on Lymph Node Staging in Patient with Esophageal Carcinoma. Gastrointestinal Endoscopy, 7, 751-757.
[7]	Flamen, P., Lerut, A., Van Cutsem, E., et al. (2000) Utility of Pozitron Emission Tomography the Staging of Patient with Potentiallyoperable Esophageal Carcinoma. Journal of Clinical Oncology, 18, 3202-3210.
[8]	Maruka, S., Modi, S. and Singh, S. (2006) Esophagial Cancer: Presentation with Unusual Bone Metastases and Review of Relevant Literature. The Internal Journal of Gastroenterology, 5.
[9]	Rezae, H. and Bradaran Rahimi, M. (2007) Squamos Cell Carcinoma of Esophagus Presenting as Bone Metastases in Five Cases. The Iranian Journal of Otorhinolary, 19, 9-14.
[10]	Flanagan, F.L., Dehdashti, F., Siegel, B.A., Trask, D.D., Sunderasan, S.R., Patterson, G.A., et al. (1997) Staging of Esophageal Cancer with 18F-Fluorodeoxyglucose Positron Emission Tomography. American Journal of Roentgenology, 168, 417-424. http://dx.doi.org/10.2214/ajr.168.2.9016218