Subtle Dysphagia as an Initial Presentation of Hidden Malignancy: A Report of 2 Cases / 대한연하장애학회지
Journal of the Korean Dysphagia Society
; (2): 46-49, 2019.
Article
Dans En
| WPRIM
| ID: wpr-719559
Responsable en Bibliothèque :
WPRO
ABSTRACT
Subtle dysfphagia, which is increased post-swallowing remnants, is a frequent finding in the elderly with various etiologies. These changes in swallowing are frequently overlooked by physicians. On the other hand, subtle changes evident on a videofluoroscopic swallowing study (VFSS) may suggest hidden disease. Therefore, clinicians should evaluate incidental dysphagia. Case 1 A 65-year-old man with no relevant medical history, presented with dysphagia and residual sensation during meals. VFSS showed moderate post-swallowing remnants in the vallecular fossa and pyriformis sinus. Further examination revealed prostate cancer with multiple bone metastases including the skull. Case 2 A 60-year-old man complained of residual sensation after swallowing, which started 2 months ago. He had a history of lung cancer. Pharyngeal residue was observed on VFSS. A brain metastasis was observed on MRI. Post-swallowing residue is often neglected or overlooked by clinicians who regard them as the features of aging. The present cases show that mild dysphagia with increased post-swallowing remnants may be an initial presentation of a hidden malignancy with metastasis. Physicians should consider unexplained dysphagia or tongue atrophy as possible initial presentations of hidden malignancies.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Tumeurs de la prostate
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Atrophie
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Sensation
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Crâne
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Langue
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Encéphale
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Vieillissement
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Imagerie par résonance magnétique
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Troubles de la déglutition
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Déglutition
Limites du sujet:
Aged
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Humans
langue:
En
Texte intégral:
Journal of the Korean Dysphagia Society
Année:
2019
Type:
Article