|
KMID : 0931320170170030144
|
|
대한상부위장관.헬리코박터학회지
2017 Volume.17 No. 3 p.144 ~ p.147
|
|
|
Esophageal Squamous Cell Carcinoma Presenting as a Subepithelial Tumor
|
|
Kim Soon-Young
Lee Sang-Kil
Ryu Hyang-Joo
|
|
|
Abstract
|
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Endoscopy, Esophagus, Squamous cell carcinoma, Subepithelial tumor
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|