Generally, esophageal cancer metastasizes to lymph node, lung, liver but metastasis to another digestive organ is very rare. A 51 year old man who had experienced dysphagia for l month was diagnosed as an esophageal cancer. After combined
radiation
therapy and chemotherapy(5-FU, cisplatinum), he still had dysphagia. After implantation of self-expandable metallic esophageal stent, he could swallow solid food. Recently, he experienced pharyngeal pain for l month. Endoscopy showed multiple
nodules in
right pyriform sinus. Biopsy specimen revealed squamous cell carcinoma. Because the distance between esophageal cancer and pharyngeal nodule is more than 10cm and computed tomography of the neck shows normal esophageal wall no cervical
lymphadenopathy,
we concluded that this case was an esophageal cancer with metastasis to the pharynx. Hence, we reported a case of esophageal cancer with pharyngeal metastasis with a review of literatures. (Kor J Gastrointest Endosc 16: 63~67, 1996)
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