Esophageal Adenocarcinoma with Extensive Metastasis to Unexpected Sites

A Case Report

Vincent Louie Mendiola, Maurice Willis

    Research output: Contribution to journalArticle

    Abstract

    Background: Esophageal cancer (EC) with unexpected metastasis (UM) to unusual sites have been increasingly reported. EC with metastasis in general has a very high mortality and morbidity rate, and those with UM to unusual sites present another specific field that needs to be further studied in order to understand and manage the presentation. An extensive systematic review was recently completed regarding this field which identified characteristics and findings concerning patients with EC with UM sites. Case Presentation: We report a 61 year old Hispanic male who had an EC, adenocarcinoma subtype, with UM to an extensive number of sites such as the soft tissue of the cheek, subcutaneous forehead and scalp with penetration of the calvarium, occipital bone, base of tongue, neck muscles, paraspinal and iliopsoas musculature and, more typically, to an adrenal gland followed by a questionable new-onset finding of subcutaneous shoulder and flank nodules not initially identified by imaging. Discussion/Conclusion: The case reports a patient who not only had EC with UM to unusual sites, but also to a considerable number. The patient correlated well in terms of clinical features identified by the systematic review of this particular field, but his case also showed a new finding, another unexpected metastasis site. This case also shows an example of why the type of imaging is important when dealing with UM sites. With this, we hope to further add to the data in this particular field and provide some opinion on this matter.

    Original languageEnglish (US)
    Pages (from-to)742-750
    Number of pages9
    JournalCase Reports in Oncology
    Volume11
    Issue number3
    DOIs
    StatePublished - Sep 1 2018

    Fingerprint

    Adenocarcinoma
    Neoplasm Metastasis
    Esophageal Neoplasms
    Occipital Bone
    Neck Muscles
    Forehead
    Cheek
    Subcutaneous Tissue
    Adrenal Glands
    Scalp
    Hispanic Americans
    Tongue
    Skull
    Morbidity
    Mortality

    Keywords

    • Adenocarcinoma
    • Atypical
    • Esophageal cancer
    • Extensive
    • Metastasis sites
    • Unusual

    ASJC Scopus subject areas

    • Oncology

    Cite this

    Esophageal Adenocarcinoma with Extensive Metastasis to Unexpected Sites : A Case Report. / Mendiola, Vincent Louie; Willis, Maurice.

    In: Case Reports in Oncology, Vol. 11, No. 3, 01.09.2018, p. 742-750.

    Research output: Contribution to journalArticle

    Mendiola, Vincent Louie ; Willis, Maurice. / Esophageal Adenocarcinoma with Extensive Metastasis to Unexpected Sites : A Case Report. In: Case Reports in Oncology. 2018 ; Vol. 11, No. 3. pp. 742-750.
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