Pathology Conference Corner

Infectious Disease - Case #1

By: Dharam Ramnani, MD

Case Report

59 year old female with a history of;

• squamous cell carcinoma of left lung, status post radiation therapy
• breast cancer, status post lumpectomy, axillary dissection and radiation therapy

The patient subsequently developed radiation-induced stricture with dysphagia to solid foods. One evening while having a meal of steak and potatoes, she experienced acute, severe dysphagia to the point where she could not even swallow her own saliva. After she arrived at the hospital, a rigid esophagoscopy was performed with subsequent esophageal biopsy as well as the extraction of impacted food. The patient improved and was released the same day.

Pathology

Specimen #1 "Esophageal biopsy"

low power (66K jpeg)

Specimen #2 "Food from esophagus"

(58K jpeg)

(48K jpeg)

(41K jpeg)

Diagnosis

Discussion

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