Elaine Lelli
This case is a rare presentation of distant unexpected metastases in esophageal adenocarcinoma. A 65-year-old male presenting with dysphagia and breakthrough reflux symptoms was evaluated by gastroenterology and found to have esophageal adenocarcinoma on Esophago Gastroduo Denoscopy (EGD). Imaging was suspicious for locoregional disease and the patient underwent neoadjuvant chemotherapy. He developed a Deep Venous Thrombosis (DVT) of the left upper extremity and was treated with anticoagulation prior to operative intervention. Ultimately the DVT site became larger post-operatively and was re-evaluated with imaging and found to be a mass consistent with primary cancer. The mass was excised and there was a local recurrence shortly afterwards. The patient resumed adjuvant chemotherapy and immunotherapy and continues to be evaluated surpassing the average survival noted with distant unexpected metastases.