This 47 year-old lady presented with dysphagia initially for solids eventually it progressed to liquids, at endoscopy a large and nearly obstructed carcinoma of the middle third of the esophagus was detected. Patient referred that almost all her life had been suffering of GERD, lately with difficulties to swallowing that made us suspecte that she has been suffering of GERD - Barrett to Adenocarcinoma Sequence.
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