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
in English
| WPRIM (Western Pacific)
| ID: wpr-719559
Responsible library:
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.
Full text:
Available
Health context:
Neglected Diseases
Health problem:
Neglected Diseases
Database:
WPRIM (Western Pacific)
Main subject:
Prostatic Neoplasms
/
Atrophy
/
Sensation
/
Skull
/
Tongue
/
Brain
/
Aging
/
Magnetic Resonance Imaging
/
Deglutition Disorders
/
Deglutition
Limits:
Aged
/
Humans
Language:
English
Journal:
Journal of the Korean Dysphagia Society
Year:
2019
Document type:
Article