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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Bibliographic Details
Published in:Internal Medicine 2019/09/01, Vol.58(17), pp.2479-2483
Main Authors: 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
Format: Article
Language:English
Subjects:
Aged, 80 and over
Biopsy
Case Report
Chromatin
Diagnostic software
Endoscopic Ultrasound-Guided Fine Needle Aspiration
endoscopic ultrasound-guided fine-needle aspiration biopsy
Endoscopy
esophageal leiomyosarcoma
Esophageal Neoplasms - diagnosis
Esophageal Neoplasms - pathology
Esophageal Neoplasms - surgery
Esophagoscopy
Esophagus
Humans
Internal medicine
Leiomyosarcoma - diagnosis
Leiomyosarcoma - pathology
Leiomyosarcoma - surgery
Male
Nuclei (cytology)
Tumors
Ultrasonic imaging
Ultrasound
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Description
Summary: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.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.2219-18