THIS 67-year-old white woman gave a history of intermittent dysphagia dating to August 1969. She had equal difficulty with solid or liquid food. She also complained of regurgitation of undigested food and excessive belching. These episodes of dysphagia became more frequent occurring every several days. She was seen in another city where an x-ray film of the chest, an upper gastrointestinal series, and esophagoscopy were carried out and reportedly were normal. Her medical history revealed that she had a partial thyroidectomy in 1923, a hysterectomy in 1931, and a right radical mastectomy for carcinoma of the breast in 1948. In 1958, she developed a left cervical node in the lower region of the neck which was biopsied and revealed metastatic carcinoma. She received irradiation therapy and was asymptomatic until August 1969.
The results of physical examination on her admission to the Geisinger Medical Center were entirely within normal limits except
Morse HR. An Unusual Complication of Mediastinoscopy. Arch Otolaryngol. 1971;93(2):198. doi:10.1001/archotol.1971.00770060284017
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