Esophageal Leiomyosarcoma Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy and Cured with Surgical Resection

Esophageal leiomyosarcomas are rare. We herein present the case of an 82-year-old patient who underwent upper gastrointestinal endoscopy, which revealed a submucosal tumor of 30 mm in diameter that was in contact with the esophagus. Endoscopic ultrasound-guided fine needle aspiration biopsy was perf...

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Detalles Bibliográficos
Autores principales: Ebi, Masahide, Sakamoto, Kazumasa, Inoue, Satoshi, Ozeki, Tomonori, Kimura, Mikitoshi, Kondo, Riki, Sugiyama, Tomoya, Yamamoto, Kazuhiro, Adachi, Kazunori, Yoshimine, Takashi, Yamaguchi, Yoshiharu, Tamura, Yasuhiro, Izawa, Shinya, Hijikata, Yasutaka, Funaki, Yasushi, Ogasawara, Naotaka, Sasaki, Makoto, Kasugai, Kunio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761329/
https://www.ncbi.nlm.nih.gov/pubmed/31118374
http://dx.doi.org/10.2169/internalmedicine.2219-18
Descripción
Sumario:Esophageal leiomyosarcomas are rare. We herein present the case of an 82-year-old patient who underwent upper gastrointestinal endoscopy, which revealed a submucosal tumor of 30 mm in diameter that was in contact with the esophagus. Endoscopic ultrasound-guided fine needle aspiration biopsy was performed and the histopathological findings indicated esophageal leiomyosarcoma. Surgical resection was performed. On histopathological examination, the tumor was found to consist of spindle cells with deep chromatin nuclei. The tumor was finally diagnosed as esophageal leiomyosarcoma. We were able to diagnose early-stage esophageal leiomyosarcoma using endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNA). EUS-FNA is mostly recommended as a diagnostic tool for esophageal submucosal tumors.

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