A 60 year-old have prolonged history of tobacco chewing presented with symptoms of weight loss and dysphagia. Esophageal biopsy was taken from a projectile mass in the esophagus which is shown below. What is your likely diagnosis?: (A) Adenocarcinoma, (B) Carcinoid tumor, (C) Squamous cell carcinoma, (D) Small cell cancer
Answer is C. - Esophageal biopsy shows Keratin pearls which is suggestive of squamous cell carcinoma. - MC esophageal carcinoma in india - Squamous cell carcinoma. - MC location of SCC - middle 1/3rd of esophagus Endoscopy showing Squamous cell carcinoma of esophagus Barium swallow showing apple core appearance of Squamous cell carcinoma of esophagus EXTRA EDGE: - MC esophageal cancer in developed countries like USA - Adenocarcinoma - MC location of adenocarcinoma - Lower 1/3rd of esophagus