CASE 80

History: A 64-year-old woman presents with dysphagia and hematemesis.

1. Which of the following should be included in the differential diagnosis of the imaging finding shown in the figures? (Choose all that apply.)

A. Achalasia

B. Bolus impaction

C. Spindle cell carcinoma

D. Inverted diverticulum

E. Intussusception

2. What tumor most often invades the esophagus through direct extension?

A. Lymphoma

B. Bronchogenic tumor

C. Gastric cardia

D. Pharyngeal

3. What is the most common cause of hematogenous metastases to the esophagus?

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