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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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| Published in: | Internal Medicine 2019/09/01, Vol.58(17), pp.2479-2483 |
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| container_end_page | 2483 |
| container_issue | 17 |
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| container_title | Internal Medicine |
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| creator | 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 |
| description | 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. |
| doi_str_mv | 10.2169/internalmedicine.2219-18 |
| format | article |
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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.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.2219-18</identifier><identifier>PMID: 31118374</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>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</subject><ispartof>Internal Medicine, 2019/09/01, Vol.58(17), pp.2479-2483</ispartof><rights>2019 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2019</rights><rights>Copyright © 2019 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c610t-72a9ce1a0bb34a9b9f956839529d39aadd196eb4fac6624b8822d70223bbda443</citedby><cites>FETCH-LOGICAL-c610t-72a9ce1a0bb34a9b9f956839529d39aadd196eb4fac6624b8822d70223bbda443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761329/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761329/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31118374$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ebi, Masahide</creatorcontrib><creatorcontrib>Sakamoto, Kazumasa</creatorcontrib><creatorcontrib>Inoue, Satoshi</creatorcontrib><creatorcontrib>Ozeki, Tomonori</creatorcontrib><creatorcontrib>Kimura, Mikitoshi</creatorcontrib><creatorcontrib>Kondo, Riki</creatorcontrib><creatorcontrib>Sugiyama, Tomoya</creatorcontrib><creatorcontrib>Yamamoto, Kazuhiro</creatorcontrib><creatorcontrib>Adachi, Kazunori</creatorcontrib><creatorcontrib>Yoshimine, Takashi</creatorcontrib><creatorcontrib>Yamaguchi, Yoshiharu</creatorcontrib><creatorcontrib>Tamura, Yasuhiro</creatorcontrib><creatorcontrib>Izawa, Shinya</creatorcontrib><creatorcontrib>Hijikata, Yasutaka</creatorcontrib><creatorcontrib>Funaki, Yasushi</creatorcontrib><creatorcontrib>Ogasawara, Naotaka</creatorcontrib><creatorcontrib>Sasaki, Makoto</creatorcontrib><creatorcontrib>Kasugai, Kunio</creatorcontrib><title>Esophageal Leiomyosarcoma Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy and Cured with Surgical Resection</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>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.</description><subject>Aged, 80 and over</subject><subject>Biopsy</subject><subject>Case Report</subject><subject>Chromatin</subject><subject>Diagnostic software</subject><subject>Endoscopic Ultrasound-Guided Fine Needle Aspiration</subject><subject>endoscopic ultrasound-guided fine-needle aspiration biopsy</subject><subject>Endoscopy</subject><subject>esophageal leiomyosarcoma</subject><subject>Esophageal Neoplasms - diagnosis</subject><subject>Esophageal Neoplasms - pathology</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophagoscopy</subject><subject>Esophagus</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Leiomyosarcoma - diagnosis</subject><subject>Leiomyosarcoma - pathology</subject><subject>Leiomyosarcoma - surgery</subject><subject>Male</subject><subject>Nuclei (cytology)</subject><subject>Tumors</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNplkU2P0zAQhi0EYkvhLyBLXLhkie18-YK0lC4gVVoJ2LM1saepq9QOdrKoZ_44jloqWC7jgx-_M-OHEMrya84q-c66EYOD_oDGauvwmnMmM9Y8IQsmCpnVXJRPySKXrMl4KlfkRYz7PBdNLflzciUYY42oiwX5tY5-2EGH0NMNWn84-ghB-wPQjxY65yMa2h7p2hkftR-spvf9GCD6yZmsm6xJ97dphMwhmh7pTRxsgNF6Rz9YP8QjBWfoagqJ-2nHHf02hc7q1O4rRtQz-JI820If8dX5XJL72_X31edsc_fpy-pmk-mK5WNaCqRGBnnbigJkK7eyrBohSy6NkADGMFlhW2xBVxUv2qbh3NQ556JtDRSFWJL3p9xhatPPaXRpkV4NwR4gHJUHq_69cXanOv-gqrpigssU8PYcEPyPCeOoDjZq7Htw6KeoUivOcl6XZULfPEL3fpqVzZTMm7ouKp6o5kTp4GMMuL0Mw3I1m1aPTavZtEryluT138tcHv5Rm4C7E7CPY_J7ASCMVvf4f3LZKFbP9dziQuodBIVO_AZ6ycrP</recordid><startdate>20190901</startdate><enddate>20190901</enddate><creator>Ebi, Masahide</creator><creator>Sakamoto, Kazumasa</creator><creator>Inoue, Satoshi</creator><creator>Ozeki, Tomonori</creator><creator>Kimura, Mikitoshi</creator><creator>Kondo, Riki</creator><creator>Sugiyama, Tomoya</creator><creator>Yamamoto, Kazuhiro</creator><creator>Adachi, Kazunori</creator><creator>Yoshimine, Takashi</creator><creator>Yamaguchi, Yoshiharu</creator><creator>Tamura, Yasuhiro</creator><creator>Izawa, Shinya</creator><creator>Hijikata, Yasutaka</creator><creator>Funaki, Yasushi</creator><creator>Ogasawara, Naotaka</creator><creator>Sasaki, Makoto</creator><creator>Kasugai, Kunio</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190901</creationdate><title>Esophageal Leiomyosarcoma Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy and Cured with Surgical Resection</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c610t-72a9ce1a0bb34a9b9f956839529d39aadd196eb4fac6624b8822d70223bbda443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged, 80 and over</topic><topic>Biopsy</topic><topic>Case Report</topic><topic>Chromatin</topic><topic>Diagnostic software</topic><topic>Endoscopic Ultrasound-Guided Fine Needle Aspiration</topic><topic>endoscopic ultrasound-guided fine-needle aspiration biopsy</topic><topic>Endoscopy</topic><topic>esophageal leiomyosarcoma</topic><topic>Esophageal Neoplasms - diagnosis</topic><topic>Esophageal Neoplasms - pathology</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Esophagoscopy</topic><topic>Esophagus</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Leiomyosarcoma - diagnosis</topic><topic>Leiomyosarcoma - pathology</topic><topic>Leiomyosarcoma - surgery</topic><topic>Male</topic><topic>Nuclei (cytology)</topic><topic>Tumors</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ebi, Masahide</creatorcontrib><creatorcontrib>Sakamoto, Kazumasa</creatorcontrib><creatorcontrib>Inoue, Satoshi</creatorcontrib><creatorcontrib>Ozeki, Tomonori</creatorcontrib><creatorcontrib>Kimura, Mikitoshi</creatorcontrib><creatorcontrib>Kondo, Riki</creatorcontrib><creatorcontrib>Sugiyama, Tomoya</creatorcontrib><creatorcontrib>Yamamoto, Kazuhiro</creatorcontrib><creatorcontrib>Adachi, Kazunori</creatorcontrib><creatorcontrib>Yoshimine, Takashi</creatorcontrib><creatorcontrib>Yamaguchi, Yoshiharu</creatorcontrib><creatorcontrib>Tamura, Yasuhiro</creatorcontrib><creatorcontrib>Izawa, Shinya</creatorcontrib><creatorcontrib>Hijikata, Yasutaka</creatorcontrib><creatorcontrib>Funaki, Yasushi</creatorcontrib><creatorcontrib>Ogasawara, Naotaka</creatorcontrib><creatorcontrib>Sasaki, Makoto</creatorcontrib><creatorcontrib>Kasugai, Kunio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ebi, Masahide</au><au>Sakamoto, Kazumasa</au><au>Inoue, Satoshi</au><au>Ozeki, Tomonori</au><au>Kimura, Mikitoshi</au><au>Kondo, Riki</au><au>Sugiyama, Tomoya</au><au>Yamamoto, Kazuhiro</au><au>Adachi, Kazunori</au><au>Yoshimine, Takashi</au><au>Yamaguchi, Yoshiharu</au><au>Tamura, Yasuhiro</au><au>Izawa, Shinya</au><au>Hijikata, Yasutaka</au><au>Funaki, Yasushi</au><au>Ogasawara, Naotaka</au><au>Sasaki, Makoto</au><au>Kasugai, Kunio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Esophageal Leiomyosarcoma Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy and Cured with Surgical Resection</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>58</volume><issue>17</issue><spage>2479</spage><epage>2483</epage><pages>2479-2483</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>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.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>31118374</pmid><doi>10.2169/internalmedicine.2219-18</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Internal Medicine, 2019/09/01, Vol.58(17), pp.2479-2483 |
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| 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 |
| title | Esophageal Leiomyosarcoma Diagnosed by Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy and Cured with Surgical Resection |
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