A CASE OF CARCINOSARCOMA OF THE ESOPHAGUS TREATED BY ENDOSCOPIC MUCOSAL RESECTION

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  • 内視鏡的粘膜切除術で切除し得た食道癌肉腫の1例

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Abstract

The patient was a 75-year-old woman who had dysphagia. Upper gastrointestinal endoscopy revealed a semipedunculated, superficial polypoid type (0-Ip) lesion, 4 cm in diameter, in the lumen of the middle thoracic esophagus. A superficial slightly depressed type (0-IIc) lesion (about 25 mm) was present around the polypoid lesion. Magnifying endoscopy showed abnor-mal microvessels. Biopsy revealed carcinosarcoma. Endoscopic ultrasonography disclosed no enlargement of the cervical, thoracic, or abdominal lymph nodes. The patient was given a 0-Ip+IIc type esophageal carcinosarcoma invading the muscularis mucosae (m3) and the surface layer of the submucosa (sml). Endoscopic mucosal resection (EMR) was performed. This was the first case of carcinosarcoma that we radically treated by EMR.

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