A 77-year-old male was hospitalised following haematemesis of sudden onset. Emergency
endoscopy revealed an oesophageal ulcer 5 cms in length. Biopsies taken from the margin
of this lesion showed severe dysplastic changes. The patient was seen one month later,
at which time his general condition was good, and there was no dysphagia. A second
endoscopy showed that the ulcer had healed, and in its place was found a mucous plaque
which was redder than normal. This plaque was iodonegative. Biopsies taken from this
region confirmed a diagnosis of carcinoma in situ of the oesophagus. To our knowledge
this is the first recorded case in which a malignant ulcer has healed.
Esophageal neoplasms - Gastrointestinal hemorrhage
