A patient aged 33 years with relapsing dysphagia

A patient aged 33 years with relapsing dysphagia evolving since childhood associated with regurgitations and retrosternal pain within a context of a 10kg weight loss. Clinical examination was unremarkable. What is your diagnosis?

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  1. Oesophageal cancer
  2. Achalasia
  3. Malignant pseudoachalasia
  4. Gastric perforation