Carbó-Bagué A, Cerón-Nasarre L, Valls-Masot L, Melendez-Munoz C, Bujons-Buscarons E, Liñan-Planas R, Barretina-Ginesta MP. Esophageal Infiltration by High-Grade Serous Ovarian Carcinoma: A Very Rare Case Report.
Case Rep Oncol 2023;
16:1436-1442. [PMID:
38028570 PMCID:
PMC10663043 DOI:
10.1159/000534702]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Accepted: 10/16/2023] [Indexed: 12/01/2023] Open
Abstract
Introduction
Esophageal involvement in high-grade serous ovarian carcinoma is a rare phenomenon when advanced systemic disease is detected. Dysphagia is the most common guide symptom. However, diagnosis is often delayed due to its submucosal process that is not early seen in endoscopic initial evaluation, while computerized tomography (CT) scan usually shows concentric thickening of the esophageal layers and gives the suspected diagnosis.
Case Presentation
We present the case of a patient who died of mediastinitis caused by an esophageal perforated ulceration due to infiltration of high-grade serous ovarian carcinoma. In addition, this is the first case report of severe esophageal candidiasis associated that delayed diagnosis and subsequent oncological treatment.
Conclusion
Esophageal secondary infiltration must be suspected when a patient has a history of malignancy combined with consistent CT findings.
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