[Secondary fungal esophagitis]

Mycotic oesophagitis can be divided into two major groups: the less frequent primary form occur without any predisposing disease and the secondary one developing more frequently as a result of predisposing diseases or pathologic processes of the oesophagus. In the case reported differential-diagnostic problems of the secondary mycotic oesophagitis are discussed. The primary lesion in this case was leiomyosarcoma of the oesophagus which remained undetected by the four biopsies performed. The specimen obtained in each occasion consisted of necrotic-mycotic material. Stenosis of the oesophagus caused by the tumour, prevented the successful biopsy.