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.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-719559
Biblioteca responsable:
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.
Texto completo:
Disponible
Contexto en salud:
Enfermedades Desatendidas
Problema de salud:
Enfermedades Desatendidas
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Neoplasias de la Próstata
/
Atrofia
/
Sensación
/
Cráneo
/
Lengua
/
Encéfalo
/
Envejecimiento
/
Imagen por Resonancia Magnética
/
Trastornos de Deglución
/
Deglución
Límite:
Anciano
/
Humanos
Idioma:
Inglés
Revista:
Journal of the Korean Dysphagia Society
Año:
2019
Tipo del documento:
Artículo