Esophageal Squamous Cell Carcinoma Presenting as a Subepithelial Tumor
Esophageal squamous cell carcinoma (ESCC) presenting as subepithelial tumor-like growth is a very rare form of the disease. We report a case of primary ESCC with intramural growth, covered with normal esophageal epithelium. The patient was initially referred due to a subepithelial tumor at the mid-e...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean College of Helicobacter and Upper Gastrointestinal Research
2017-09-01
|
| Series: | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
| Subjects: | |
| Online Access: | http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2017.17.3.144 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849245278066966528 |
|---|---|
| author | Soon Young Kim Sang Kil Lee Hyang Joo Ryu |
| author_facet | Soon Young Kim Sang Kil Lee Hyang Joo Ryu |
| author_sort | Soon Young Kim |
| collection | DOAJ |
| description | Esophageal squamous cell carcinoma (ESCC) presenting as subepithelial tumor-like growth is a very rare form of the disease. We report a case of primary ESCC with intramural growth, covered with normal esophageal epithelium. The patient was initially referred due to a subepithelial tumor at the mid-esophagus, butendoscopic ultrasonography revealed a heterogeneously hypoechoic mass, which disrupted the structure of the muscularis propria. An endoscopic submucosal dissection was performed for accurate diagnosis, and the lesion was diagnosed histopathologically as moderately differentiated squamous cell carcinoma. Computed tomography revealed an enlarged left upper paratracheal lymph node, which showed increased uptake on positron emission tomography. The patient underwent subtotal esophagectomy with total mediastinal lymphadenectomy and adjuvant chemotherapy. Primary ESCC with intramural growth is extremely rare. For accurate diagnosis, when there is a high index of suspicion, additional investigations such as endoscopic ultrasonography or diagnostic endoscopic submucosal dissection might be needed. |
| format | Article |
| id | doaj-art-b64d8347cd0147f48a68db5311d2ae17 |
| institution | Kabale University |
| issn | 1738-3331 |
| language | English |
| publishDate | 2017-09-01 |
| publisher | Korean College of Helicobacter and Upper Gastrointestinal Research |
| record_format | Article |
| series | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
| spelling | doaj-art-b64d8347cd0147f48a68db5311d2ae172025-08-20T03:58:50ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312017-09-0117314414710.7704/kjhugr.2017.17.3.144kjhugr.2017.17.3.144Esophageal Squamous Cell Carcinoma Presenting as a Subepithelial TumorSoon Young Kim0Sang Kil Lee1Hyang Joo Ryu2Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaDepartment of Pathology, Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaEsophageal squamous cell carcinoma (ESCC) presenting as subepithelial tumor-like growth is a very rare form of the disease. We report a case of primary ESCC with intramural growth, covered with normal esophageal epithelium. The patient was initially referred due to a subepithelial tumor at the mid-esophagus, butendoscopic ultrasonography revealed a heterogeneously hypoechoic mass, which disrupted the structure of the muscularis propria. An endoscopic submucosal dissection was performed for accurate diagnosis, and the lesion was diagnosed histopathologically as moderately differentiated squamous cell carcinoma. Computed tomography revealed an enlarged left upper paratracheal lymph node, which showed increased uptake on positron emission tomography. The patient underwent subtotal esophagectomy with total mediastinal lymphadenectomy and adjuvant chemotherapy. Primary ESCC with intramural growth is extremely rare. For accurate diagnosis, when there is a high index of suspicion, additional investigations such as endoscopic ultrasonography or diagnostic endoscopic submucosal dissection might be needed.http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2017.17.3.144EndoscopyEsophagusSquamous cell carcinomaSubepithelial tumor |
| spellingShingle | Soon Young Kim Sang Kil Lee Hyang Joo Ryu Esophageal Squamous Cell Carcinoma Presenting as a Subepithelial Tumor The Korean Journal of Helicobacter and Upper Gastrointestinal Research Endoscopy Esophagus Squamous cell carcinoma Subepithelial tumor |
| title | Esophageal Squamous Cell Carcinoma Presenting as a Subepithelial Tumor |
| title_full | Esophageal Squamous Cell Carcinoma Presenting as a Subepithelial Tumor |
| title_fullStr | Esophageal Squamous Cell Carcinoma Presenting as a Subepithelial Tumor |
| title_full_unstemmed | Esophageal Squamous Cell Carcinoma Presenting as a Subepithelial Tumor |
| title_short | Esophageal Squamous Cell Carcinoma Presenting as a Subepithelial Tumor |
| title_sort | esophageal squamous cell carcinoma presenting as a subepithelial tumor |
| topic | Endoscopy Esophagus Squamous cell carcinoma Subepithelial tumor |
| url | http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2017.17.3.144 |
| work_keys_str_mv | AT soonyoungkim esophagealsquamouscellcarcinomapresentingasasubepithelialtumor AT sangkillee esophagealsquamouscellcarcinomapresentingasasubepithelialtumor AT hyangjooryu esophagealsquamouscellcarcinomapresentingasasubepithelialtumor |