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KMID : 0359019970170020155
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Korean Journal of Gastrointestinal Endoscopy
1997 Volume.17 No. 2 p.155 ~ p.162
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A Case of Carcinosarcoma of Esophagus
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정의훈
김명빈/백광호/한상진/고문수/장웅기/김동준/이진/주상언
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Abstract
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More than 17 different terms, including carcinosarcoma and pseudosarcoma, have been applied to the rare polypoid tumors of the esophagus that demonstrate both carcinomatous and sarcomatous components. The multiplicity in terminology seems related
to the
uncertain histogenesis of these tumors. A demonstration of the ultrastructure of the spindle cells (containing desmosomes and tonofilaments) is consistent with an epithelial origin. The patients was a 53 year-old man who had suffered from
dysphagia
and
foreign body sensation in larynx. Endoscopic finding was a large polypiod mass with ulceroinfiltiative lesions at the level of 27cm from the incisor. Pathologic findings were that the covering epithelium showed well differentiated squamous
carcinoma
with invasive pattern and the stroma contained islands of sarcoma and squamous cell carcinoma. Immunoreactivity to cytokeratin was not observed. Partial esophagectomy and esophagogastrostomy was done. We report a case of rare malignant esophageal
carcinosarcoma. (Korean J Gastrointest Endosc 17: 155~159, 1997)
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KEYWORD
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