Korean J Gastrointest Endosc.  1991 Nov;11(2):231-234.

A Case Report of True Carcinosarcoma of the Esophagus, Which Contained Undifferentiated Small Cell Component

• Park JH
• Choi MG
• Han CH
• Choi KY
• Chung IS
• Cha SB
• Sun HS
• Kim BS
• Kim YH
• Choi YJ
• Lee AH

Abstract

Carcinosarcoma of the esophagus is regarded as a rare malignant neoplasm composed of both carcinomatous and sarcomatous elements. Esophageal carcinosarcoma classified into 3 subgroups, pseudosarcoma, so called carcinosarcoma, and true carcinosarcoma. we report a case of large polypoid tumor consist of squamous cell carcinoma, undifferentiatred small cell and spindle cell proliferation. The patient was 47 year-old man who had suffered from dysphasia and substernal chest pain for 2 months. A protruded tumor in size of 8x4x3.5 cm with stalk was found in midesophagus at the level of 28 cm from the incisor. The tumor was round with smooth surface stained with Lugol solution. There were multiple erosions at the stalk of the tumor, Partial esophagectomy and esophagogastrostomy was done, Undifferentiated small cell was confirmed by immunoreactivity to neuron specific enolase and electron microscopic findings.

Keyword

Carcinosarcoma; Esophageal cancer

MeSH Terms

Aphasia
Carcinoma, Squamous Cell
Carcinosarcoma*
Cell Proliferation
Cellular Structures*
Chest Pain
Esophageal Neoplasms
Esophagectomy
Esophagus*
Humans
Incisor
Middle Aged
Phosphopyruvate Hydratase
Phosphopyruvate Hydratase