RT Journal
A1 Rastegar DA
T1 HIv infection and esophageal cancer
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2010
FD May 24
VO 170
IS 10
SP 916
OP 917
DO 10.1001/archinternmed.2010.113
UL http://dx.doi.org/10.1001/archinternmed.2010.113
AB 
In 2002, a 47-year-old woman was admitted to Johns Hopkins Bayview Medical Center, Baltimore, Maryland, with difficulty swallowing solid food and melena. She was diagnosed as having HIV infection 4 years prior to this, and she likely acquired HIV through sexual transmission from her husband. She smoked cigarettes but did not drink alcohol and had no history of gastroesophageal reflux disease. Her most recent CD4 lymphocyte count was 654/μL (to convert to ×109/L, multiply by 0.001), and she had never received antiretroviral therapy. On upper endoscopy, she was found to have a 5-cm diameter mass in the distal esophagus; the gastroesophageal junction appeared normal. Biopsy results showed an infiltrating moderately differentiated squamous cell carcinoma. She received chemotherapy but subsequently died from septic shock 3 months after this diagnosis was made.