Double esophageal carcinosarcomas showing rapid growth of a new polypoid tumor after sloughing of another polypoid tumor

A 55-year-old man presented at our hospital with a large polypoid esophageal tumor. Initial upper gastrointestinal endoscopy revealed that this tumor had sloughed off to be replaced with ulceration in the thoracic esophagus. However, after the tumor at the thoracic esophagus sloughed off, a semi-cir...

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Bibliographic Details
Published in:	Nippon Shōkakibyō Gakkai zasshi Vol. 110; no. 8; p. 1454
Main Authors:	Yamashita, Yukimasa, Fukushima, Masashi, Sumitomo, Yasuhiko, Son, Yongi, Maruo, Masayuki, Itai, Ryosuke, Ono, Hiroshi, Kimura, Yoshito, Ikeda, Eiji, Takada, Mariko, Mikami, Sakae, Nishigami, Takayuki
Format:	Journal Article
Language:	Japanese
Published:	Japan 01-08-2013
Subjects:	Carcinoma, Squamous Cell - pathology Carcinosarcoma - pathology Endoscopy, Gastrointestinal Esophageal Neoplasms - pathology Humans Male Middle Aged Neoplasms, Multiple Primary - pathology
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Summary:	A 55-year-old man presented at our hospital with a large polypoid esophageal tumor. Initial upper gastrointestinal endoscopy revealed that this tumor had sloughed off to be replaced with ulceration in the thoracic esophagus. However, after the tumor at the thoracic esophagus sloughed off, a semi-circular, superficial, flat squamous cell carcinoma was observed adjacent to the ulceration. In addition, a separate carcinosarcoma, 2cm in diameter, was found at the esophagogastric junction. Approximately one month later, endoscopic re-examination revealed a new polypoid tumor approximately 4cm in diameter that was growing rapidly in the center of the superficial thoracic esophageal carcinoma lesion. Standard subtotal esophagectomy was performed. Histopathological examination revealed that both lesions were esophageal carcinosarcomas. This is a rare case of double esophageal carcinosarcoma associated with rapid polypoid tumor growth from a superficial squamous cell carcinoma lesion.
ISSN:	0446-6586
DOI:	10.11405/nisshoshi.110.1454