Esophageal carcinoma complicating achalasia, 25 years after esophagomyotomy

The development of Esophageal carcinoma with achalasia long after adequate surgical treatment is a rare occurrence which is seldom documented in clinical reports. We present a report of oeseophageal Carcinoma in an 82year old woman with achalasia of the esophagus 25 years after esophagomyotomy. Serial Imaging and Endoscopic examinations revealed the malignant transformation of the achalasia. This emphasizes the need for life long surveillance in the management of cancer oesophagus. Nigerian Journal of Surgical Research Vol. 7(1&2) 2005: 209–21