An Esophageal Squamous Cell Carcinoma with Lymph Node Metastasis Presenting as a Small Subepithelial Tumor

• Published in: The Korean journal of helicobacter and upper gastrointestinal research Vol. 19; no. 4; pp. 272 - 276
• Main Authors: Park, Jang Won, Gong, Eun Jeong, Seo, Myeongsook, Jun, Baek Gyu, Seo, Hyun Il, Park, Jong Kyu, Han, Koon Hee, Lee, Sang Jin, Kim, Young Don, Jeong, Woo Jin, Cheon, Gab Jin
• Format: Journal Article
• Language: English
• Published: 대한상부위장관ㆍ헬리코박터학회 10-12-2019
• Subjects: 내과학
• ISSN: 1738-3331; 2671-826X
• DOI: 10.7704/kjhugr.2019.0005

A subepithelial tumor-like esophageal carcinoma is rare. We report a case of an esophageal squamous cell carcinoma with lymph node metastasis presenting as a small subepithelial tumor. A 68-year-old man presented to our hospital complaining of hoarseness since last three months. Endoscopic examination revealed a 1 cm hard and fixed subepithelial tumor with surface erosion in the lower esophagus. A biopsy specimen was obtained using conventional forceps, and histopathological evaluation revealed few atypical squamous epithelial cells. Subsequent EUS demonstrated a homogeneous hypoechoic lesion in the deep mucosal layer. A CT scan of the chest showed a 3 cm mass in the right upper paratracheal area. EUS-guided fine needle biopsy of the lesion led to the diagnosis of squamous cell carcinoma with lymph node metastasis. KCI Citation Count: 0