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Updated: Aug 26, 2025

Modeling Oral-Esophageal Squamous Cell Carcinoma in 3D Organoids
Published on: December 23, 2022
Squamous cell carcinoma arising in a Zenker diverticulum
Francesca Polit1, Hisham F Bahmad1, Jessica Wahi2
1Arkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL, USA.
Squamous cell carcinoma (SCC) is rarely found in Zenker diverticulum (ZD). This case highlights the importance of regular endoscopic surveillance for ZD patients to detect early signs of malignancy.
Area of Science:
- Gastroenterology
- Oncology
- Surgical Pathology
Background:
- Zenker diverticulum (ZD) is a rare outpouching of the pharyngeal or esophageal wall.
- Malignancy within a ZD is exceptionally uncommon, with fewer than 50 global cases reported.
Observation:
- A 74-year-old male presented with a decade of regurgitation, dysphagia, and halitosis.
- Diagnostic imaging confirmed a large posterior esophageal ZD with substantial contrast retention.
- Surgical excision revealed a co-existing squamous cell carcinoma within the diverticulum.
Findings:
- The study details a rare case of squamous cell carcinoma (SCC) originating within a Zenker diverticulum (ZD).
- Histopathological analysis confirmed SCC in the resected diverticulum specimen.
Implications:
- This case underscores the critical need for vigilant endoscopic surveillance in patients diagnosed with Zenker diverticulum.
- Early detection of suspicious lesions via regular endoscopy is crucial for improved patient outcomes in ZD-associated malignancies.
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