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A 74-year-old man was referred to the hospital because of worsening dysphagia.
The patient had been in good health until seven months earlier, when dysphagia developed and subsequently worsened, with epigastric and subxiphoid pain. The results of a cardiac stress test were normal. Six and a half months before admission, a double-contrast upper gastrointestinal series (Figure 1) showed a 12-mm stricture at the gastroesophageal junction, with slight spontaneous reflux; the stomach and duodenum appeared normal. An esophagogastroduodenoscopic examination showed a benign-appearing stricture without evidence of a mass. Microscopical examination of biopsy specimens from the esophagus showed squamous epithelium
Differential Diagnosis
Clinical Diagnosis
Dr. James S. Allan's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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