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Pleural effusion as an initial sign of superficial esophageal carcinoma

Pleural effusion as an initial sign of superficial esophageal carcinoma

Japanese Journal of Chest Diseases 45(2): 144-146

A 55-year-old man came to our hospital for evaluation of right pleural effusion detected by routine chest X-ray film. Radiographical examination, computed tomogram and angiograms showed no abnormal findings which suggested the presence of primary lung cancer. Cytological examination of the pleural effusion revealed malignant cells (squamous cell carcinoma) and so the cause of the effusion was considered to be metastasis of squamous cell carcinoma of unknown primary site. To find the primary lesion, esophagogram was performed which revealed superficial esophageal carcinoma. Histological type of the biopsy specimen was squamous cell carcinoma. We considered that pleuritis carcinomatosa in this case was caused by lymphatic spread of superficial esophageal carcinoma. In literatures, pleural effusion due to superficial esophageal carcinoma has been rarely reported.

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Accession: 006135861

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