QuestionSBA
QuestionChoice
This normally develops after longstanding GORD which is not described and predisposes to malignancy.
10035570
d
Barrett's oesophagus
QuestionChoice
This is correct. The patient is presenting with signs and symptoms of oesophageal cancer and his smoking and alcohol history further increase the risk of squamous cell carcinoma.
10035567
a
Oesophageal squamous cell carcinoma
QuestionChoice
This is not in keeping with the clinical context with no heartburn, indigestion, belching or acid reflux.
10035571
e
Gastro-oesophageal reflux disease
QuestionChoice
The progressive dysphagia, age and history are more in keeping with malignancy as opposed to achalasia which is dysphagia to solids and liquids from its onset with sputtering and regurgitation of food which are not described.
10035569
c
Achalasia
QuestionChoice
The patient is presenting with signs and symptoms of oesophageal cancer, however adenocarcinoma tends to be associated with longstanding reflux/GORD. Smoking is very strongly associated with squamous cell carcinoma, as is chronic alcohol abuse.
10035568
b
Oesophageal adenocarcinoma
QuestionComment
naughty

61156
User
subscriber
a1 ramzy
Concept
Chapter
2693
3985
Oesophageal carcinoma
Topic
136
Gastroenterology
19517
Oesophageal squamous cell carcinoma is associated with risk factors such as smoking and alcohol consumption, presenting with dysphagia and weight loss.
A 68-year-old man attends the GP practice with a 3-month history of progressive dysphagia and weight loss. He has smoked 20 cigarettes a day for the last 32 years, and used to suffer from alcoholism.

What is the most likely diagnosis?
a