Man 61 yoconsulted by right and left plantar pain. He says it happened more one year agowith skin in foot and hand thickening (photo).
Now he has got progressive dysphagia for one month.
Ultrasound at his neckdetected dilatationof cervical esophagus(US 1)and one mass intra esophagus at longitudinal scanning (US 2).
Ultrasound suggestion is tumor of cervical esophagus.
MSCT with oral contrast [CT 1, CT 2, CT 3] : cervical esophagus is thickening of the wallby tumor covered the lumen.
Endoscopy detected exotic tumor intra esophagus lumen (endoscopic foto) and biosyis done.
Microscopic report is SCC (squamous cell carcinoma).
Do you see another case having relation between palma-plantar keratosis and esophagus cancer ?
UPDATE= HOWEL-EVANS SYNDROME.
UPDATE= HOWEL-EVANS SYNDROME.
