A 57-year-old woman presented with a complaint of dysphagia and a 23-lb weight-loss over a three month period. She was not a smoker and did not drink alcohol. Endoscopy found a circumferential esophageal lesion at 34 cm from the incisors. Biopsy showed squamous cell carcinoma.
A retroflexed view shows the gastric end of the tumor. The tumor measured 6 cm in length by endoscopic ultrasound and 27.5 mm in thickness. An 8-mm gastrohepatic ligament lymph node was noted, and a malignant appearing peri-tumoral lymph node was seen at 35 cm.
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