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Right arrow Esophagus - cancer

Ann Thorac Surg 2006;81:1136-1138
© 2006 The Society of Thoracic Surgeons

Case report

Esophageal Perforation in a Patient With Metastatic Breast Cancer to Esophagus

Daniel A. Anaya, MD a , Mujun Yu, MD b , Riyad Karmy-Jones, MD a , *

a Division of Thoracic and Trauma Surgery, Harborview Medical Center, University of Washington, Seattle, Washington
b Department of Pathology, Harborview Medical Center, University of Washington, Seattle, Washington

Accepted for publication January 18, 2005.

* Address correspondence to Dr Karmy-Jones, University of Washington, Harborview Medical Center, 325 Ninth Ave, Box 359796, Seattle, Washington 98104-2499 (Email: karmy{at}u.washington.edu).

Esophageal metastasis from breast cancer is rare and can present after a long latency period. The middle and distal third of the esophagus are the most common sites and dysphagia (with or without stricture) is the most common presentation. Because of predominantly submucosal involvement, diagnosis is often difficult to establish until significant complications arise. We present the case of a patient with esophageal perforation due to dilatation treatments for dysphagia secondary to a distal stricture, later proven to be caused by esophageal metastasis from a breast cancer treated 19 years earlier.






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