74 year-old woman with dysphagia (difficulty swallowing) to solids. Endoscopy revealed a complex array of squamous cell carcinoma. An ulcerated mass was present in the lower third of the esophagus (LEFT), with small satellite lesions extending upward towards the midesophagus (RIGHT).


The middle third of the esophagus was replaced by circumferential tumor (LEFT). A spherical submucosal mass with a small ulcer was present in the upper third of the esophagus (RIGHT). All lesions contained squamous cell carcinoma on biopsy.