Korean J Gastrointest Endosc.  2007 Jun;34(6):324-328.

A Case of Esophageal Carcinoma Coexisting with Leiomyoma Removed by Endoscopic Resection

Affiliations
  • 1Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. jadelook@hanmail.net

Abstract

The coexistence of esophageal submucosal tumors and carcinomas is rare and the association between them is still unclear. Here, we report a case of a superficial esophageal carcinoma that developed over an esophageal leiomyoma, which was removed successfully by an endoscopic mucosal resection. A 76-year-old man was admitted for the treatment of an esophageal carcinoma. The endoscopic examination revealed a 1 cm-sized round, flat, elevated lesion located at the 25 cm mark of the endoscopy. Endoscopic ultrasonography revealed the carcinoma to be limited to the mucosal layer. Interestingly, a 1.2 cm sized, hypoechoic, subepithelial mass was present beneath the carcinoma. An endoscopic resection was performed simultaneously using a suction and snaring method with a transparent cap attached to the tip of the endoscope. A histopathology examination revealed a squamous cell carcinoma restricted to the mucosa immediately over the benign leiomyoma arising from the muscularis mucosa. The patient has remained well during 1 year follow-up period and has shown no evidence of recurrence.

Keyword

Esophageal squamous cell carcinoma; Esophageal leiomyoma; Endoscopic mucosal resection
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