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Case Rep Gastroenterol. 2008 Sep 30;2(3):330-7. doi: 10.1159/000151584.

True carcinosarcoma of the esophagus: report of a case.

Author information

  • 1Second Department of Surgery, Organ Regenerative Surgery, Ehime University Graduate School of Medicine, Ehime, Japan.

Abstract

Carcinosarcoma of the esophagus is a malignant neoplasm involving both carcinomatous and sarcomatous components. We report a patient with true esophageal carcinosarcoma who underwent laparoscopy-assisted surgery. An upper gastrointestinal barium study revealed a lobulated intraluminal filling defect in the lower intrathoracic esophagus. The patient underwent esophagectomy and regional lymphadenectomy with gastric tube reconstruction by laparoscopy-assisted surgery and thoracotomy. The esophageal hiatus was entered and the mediastinal esophagus was dissected using a laparoscopic approach. Microscopically, the tumor comprised poorly differentiated squamous cell carcinoma and spindle-shaped cells resembling leiomyosarcoma. Immunohistochemically, spindle-shaped sarcomatous cells displayed strongly positive reaction to vimentin and negative reaction to cytokeratin AE1/AE3 and CD68. No transitional zone was seen between sarcomatous and carcinomatous elements. The patient was finally diagnosed with true esophageal carcinosarcoma. Laparoscopic transhiatal esophagectomy seems to be a rational and safe procedure for lower esophageal neoplasms, even for patients with impaired respiratory function.

KEYWORDS:

Immunohistochemical staining; Minimally invasive surgery; True carcinosarcoma of the esophagus

PMID:
21490865
[PubMed]
PMCID:
PMC3075193
Free PMC Article

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