Open AccessDiscovery of esophageal stricture following femoral neck fracture: a case of adenosquamous carcinoma of the esophagus in a young female
Author(s) -
Pei Xue,
Danielle M. Nogoy,
Konstantinos Damiris,
Sushil Ahlawat
Publication year - 2021
Publication title -
case reports in internal medicine
Language(s) - English
Resource type - Journals
eISSN - 2332-7251
pISSN - 2332-7243
DOI - 10.5430/crim.v8n1p13
Subject(s) - medicine , adenosquamous carcinoma , esophagus , malignancy , histopathology , adenocarcinoma , radiology , carcinoma , femoral neck , biopsy , magnetic resonance imaging , pathology , surgery , cancer , osteoporosis
Adenosquamous carcinoma (ASC) of the esophagus is a rare malignancy of the esophagus with histopathologic features of both adenocarcinoma and squamous cell carcinoma. Given the rarity of this disease, there is scant literature on ASC. We report a unique case of a 29-year-old African American female with advanced ASC manifesting as a pathologic fracture. Magnetic resonance imaging (MRI) confirmed femoral fracture, and femoral biopsy demonstrated metastatic ASC. Upper endoscopy revealed a distal esophageal stricture, and histopathology confirmed ASC. To our knowledge this is the youngest case of ASC to be reported. We discuss ASC epidemiology, clinical findings, diagnosis, and current treatments.