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Endoscopic submucosal dissection in a patient with esophageal adenoid cystic carcinoma
We report the first use of endoscopic submucosal dissection (ESD) for the treatment of a patient with adenoid cystic carcinoma of the esophagus (EACC). An 82-year-old woman visited our hospital for evaluation of an esophageal submucosal tumor. Endoscopic examination showed a submucosal tumor in the...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5725305/ https://www.ncbi.nlm.nih.gov/pubmed/29259386 http://dx.doi.org/10.3748/wjg.v23.i45.8097 |
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author | Yoshikawa, Kenichi Kinoshita, Akiyoshi Hirose, Yuki Shibata, Keiko Akasu, Takafumi Hagiwara, Noriko Yokota, Takeharu Imai, Nami Iwaku, Akira Kobayashi, Go Kobayashi, Hirohiko Fushiya, Nao Kijima, Hiroyuki Koike, Kazuhiko Kaneyama, Haruka Ikeda, Keiichi Saruta, Masayuki |
author_facet | Yoshikawa, Kenichi Kinoshita, Akiyoshi Hirose, Yuki Shibata, Keiko Akasu, Takafumi Hagiwara, Noriko Yokota, Takeharu Imai, Nami Iwaku, Akira Kobayashi, Go Kobayashi, Hirohiko Fushiya, Nao Kijima, Hiroyuki Koike, Kazuhiko Kaneyama, Haruka Ikeda, Keiichi Saruta, Masayuki |
author_sort | Yoshikawa, Kenichi |
collection | PubMed |
description | We report the first use of endoscopic submucosal dissection (ESD) for the treatment of a patient with adenoid cystic carcinoma of the esophagus (EACC). An 82-year-old woman visited our hospital for evaluation of an esophageal submucosal tumor. Endoscopic examination showed a submucosal tumor in the middle third of the esophagus. The lesion partially stained with Lugol’s solution, and narrow band imaging with magnification showed intrapapillary capillary loops with mild dilatation and a divergence of caliber in the center of the lesion. Endoscopic ultrasound imaging revealed a solid 8 mm × 4.2 mm tumor, primarily involving the second and third layers of the esophagus. A preoperative biopsy was non-diagnostic. ESD was performed to resect the lesion, an 8 mm submucosal tumor. Immunohistologically, tumor cells differentiating into ductal epithelium and myoepithelium were observed, and the tissue type was adenoid cystic carcinoma. There was no evidence of esophageal wall, vertical stump or horizontal margin invasion with pT1b-SM2 staining (1800 μm from the muscularis mucosa). Further studies are needed to assess the use of ESD for the treatment of patients with EACC. |
format | Online Article Text |
id | pubmed-5725305 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-57253052017-12-19 Endoscopic submucosal dissection in a patient with esophageal adenoid cystic carcinoma Yoshikawa, Kenichi Kinoshita, Akiyoshi Hirose, Yuki Shibata, Keiko Akasu, Takafumi Hagiwara, Noriko Yokota, Takeharu Imai, Nami Iwaku, Akira Kobayashi, Go Kobayashi, Hirohiko Fushiya, Nao Kijima, Hiroyuki Koike, Kazuhiko Kaneyama, Haruka Ikeda, Keiichi Saruta, Masayuki World J Gastroenterol Case Report We report the first use of endoscopic submucosal dissection (ESD) for the treatment of a patient with adenoid cystic carcinoma of the esophagus (EACC). An 82-year-old woman visited our hospital for evaluation of an esophageal submucosal tumor. Endoscopic examination showed a submucosal tumor in the middle third of the esophagus. The lesion partially stained with Lugol’s solution, and narrow band imaging with magnification showed intrapapillary capillary loops with mild dilatation and a divergence of caliber in the center of the lesion. Endoscopic ultrasound imaging revealed a solid 8 mm × 4.2 mm tumor, primarily involving the second and third layers of the esophagus. A preoperative biopsy was non-diagnostic. ESD was performed to resect the lesion, an 8 mm submucosal tumor. Immunohistologically, tumor cells differentiating into ductal epithelium and myoepithelium were observed, and the tissue type was adenoid cystic carcinoma. There was no evidence of esophageal wall, vertical stump or horizontal margin invasion with pT1b-SM2 staining (1800 μm from the muscularis mucosa). Further studies are needed to assess the use of ESD for the treatment of patients with EACC. Baishideng Publishing Group Inc 2017-12-07 2017-12-07 /pmc/articles/PMC5725305/ /pubmed/29259386 http://dx.doi.org/10.3748/wjg.v23.i45.8097 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Case Report Yoshikawa, Kenichi Kinoshita, Akiyoshi Hirose, Yuki Shibata, Keiko Akasu, Takafumi Hagiwara, Noriko Yokota, Takeharu Imai, Nami Iwaku, Akira Kobayashi, Go Kobayashi, Hirohiko Fushiya, Nao Kijima, Hiroyuki Koike, Kazuhiko Kaneyama, Haruka Ikeda, Keiichi Saruta, Masayuki Endoscopic submucosal dissection in a patient with esophageal adenoid cystic carcinoma |
title | Endoscopic submucosal dissection in a patient with esophageal adenoid cystic carcinoma |
title_full | Endoscopic submucosal dissection in a patient with esophageal adenoid cystic carcinoma |
title_fullStr | Endoscopic submucosal dissection in a patient with esophageal adenoid cystic carcinoma |
title_full_unstemmed | Endoscopic submucosal dissection in a patient with esophageal adenoid cystic carcinoma |
title_short | Endoscopic submucosal dissection in a patient with esophageal adenoid cystic carcinoma |
title_sort | endoscopic submucosal dissection in a patient with esophageal adenoid cystic carcinoma |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5725305/ https://www.ncbi.nlm.nih.gov/pubmed/29259386 http://dx.doi.org/10.3748/wjg.v23.i45.8097 |
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