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Plexiform neurofibroma of the oesophagus: a mimicker of malignancy

¹ John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU and ² Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK

View larger version (124K): [in a new window]   Figure 1. A CT revealing marked thickening of the wall of the distal oesophagus with a finger-like protrusion extending into the lumen.

View larger version (149K): [in a new window]   Figure 2. CT showing a number of nodular lesions measuring more than 6 cm in diameter encasing the coeliac artery, which were initially thought to be enlarged coeliac lymph nodes.

View larger version (87K): [in a new window]   Figure 3. Barium swallow examination showing a mass like indentation of the lower oesophagus as well as an impression on the cardia and adjacent fundus of the stomach, with proximal dilatation of the oesophagus. The appearances are of pseudoachalasia.