잠시만 기다려 주세요. 로딩중입니다.

부식성 식도염 과거력이 있는 환자에서 진단된 식도 암육종 1예

Esophageal Carcinosarcoma in a Patient with Corrosive Esophagitis

김영기, 신옥란, 김성수,
소속 상세정보
김영기 ( Kim Young-Ki ) - Catholic University College of Medicine Uijeongbu St. Mary’s Hospital Department of Internal Medicine
신옥란 ( Shin Ok-Ran ) - Catholic University College of Medicine Uijeongbu St. Mary’s Hospital Departments of Pathology
김성수 ( Kim Sung-Soo ) - Catholic University College of Medicine Uijeongbu St. Mary’s Hospital Department of Internal Medicine

Abstract


Esophageal carcinosarcoma is a rare type of esophageal cancer characterized by both carcinomatous and sarcomatous components. Its endophytic growth tendency into the esophageal lumen leads to a higher curative resection rate. However, lymph node metastases in esophageal carcinosarcoma occur at a relatively early stage. We report a case of esophageal carcinosarcoma in a 52-year-old man who had dysphagia for 2 months and a history of ingestion of glacial acetic acid in adolescence. His endoscopy and chest CT results showed an 8.5-cm-sized ulcerative polypoid mass with multiple lymph node metastases in the mid-esophagus. Biopsy revealed an interweaving spindle cell proliferation with squamous dysplasia. Immunohistochemical staining showed positive expressions of vimentin and cytokeratin. Even though the patient received concomitant chemoradiotherapy with a stent insertion, he died 7 months after diagnosis. We herein present a case of corrosive esophagitis followed by esophageal carcinosarcoma that suggested the possibility of an association between the two diseases.

키워드

Carcinosarcoma; Corrosive esophagitis; Spindle cell carcinoma

원문 및 링크아웃 정보

등재저널 정보