Six case reports are described which illustrate a uniform syndrome characterized by progressive dysphagia developing in postmenopausal breast cancer patients after a long disease-free interval following mastectomy. Literature cases are reviewed and treatment strategies are discussed. The authors recommend that, when possible, radiotherapy to the mediastinum and/or chemotherapy with dilation or positioning of an endoprothesis should be considered as the treatment of choice, whereas surgical intervention should be limited.
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