Varicoid carcinoma of the esophagus

Two cases of varicoid carcinoma of the esophagus are presented and differentiation from the similar findings in esophageal varices is emphasized. Radiographically, distinction must be made on the basis of changeability of the configuration of the wall with positional change and alterations in the respiratory pattern, a characteristic feature of varices. Endoscopically, no change is seen in varicoid carcinoma with the respiratory cycle. The latter may have a pallid white appearance in contrast to the bluish color of varices. An area of ulceration would strongly suggest carcinoma, indicating biopsy.