Case presentation A 55-year-old healthy woman presented to the gastroenterologist with solid food stuck in her throat. History A 2-year history of progressive dysphagia to solids Gastroesophageal reflux disease was still being treated with omeprazole. Hypothyroidism Family history The patient's mother and son had diabetes mellitus Social history No alcohol intake She was a smoker 20 years ago, with a 15-pack-year history.
Physical and laboratory examination Unremarkable Esophagography Filling defect in the upper thoracic esophagus Computed tomography 8 cm polyp-like mass on the wall of the esophagus. Endoscopic ultrasound Pedunculated mass with a submucosal origin beginning at 20 cm of the incisors of the right side of the neck A palpable mass on the posterior esophageal wall at the thoracic inlet The mass extended from the level of the azygos vein to the thoracic inlet. Intact…
