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Esophageal carcinoma in an elderly female Nigerian

The evaluation of patients with esophageal complaints starts with barium swallow and/or endoscopy examinations. This report is about a 78-year old female whose barium esophagogram showed evidence of advanced esophageal cancer. The aim of this report is to highlight the need for a high index of suspicion, and early use of barium swallow, in evaluating esophageal complaints in patients of middle age and above, especially in developing countries like Nigeria where endoscopy may not be widely available. An earlier diagnosis may improve the mortality and morbidity from this very lethal tumor which is relatively rare.