Esophageal cancer with metastases to skeletal muscles - A case report

To report a rare case of esophageal cancer with metastases to skeletal muscles. Case report- 69 year old male, chronic smoker presented in 2013 with dysphagia for three months, diagnosed to have adenosquamous carcinoma of upper thoracic Esophagus and was treated with concurrent chemoradiation with RT TD 54Gy to primary and nodal regions along with three cycles of weekly cisplatin. On March 2014, patient was diagnosed to have metastases to calf muscle and gluteus maximus which after IHC correlation was found to be secondaries from esophageal primary. Patient received palliative irradiation to the same with TD 30 Gy and was on follow-up. He again had metastases to Right popliteus and left shoulder and was irradiated to popliteal region. Patient on treatment developed pathological fracture of right tibia and was on supportive care. Patient died due to progressive disease on December 2014.