Korean J Thorac Cardiovasc Surg.  1998 Dec;31(12):1247-1250.

Adenoid Cystic Carcinoma of the Esophagus: A Case Report

• Lee JI
• Sung SW

Abstract

Adenoid cystic carcinoma of the esophagus was regarded as an esophageal counterpart of the more common adenoid cystic carcinoma of the salivary gland. However it is a rare lesion which has more malignant differentiations and thus shows more aggressive clinical behaviors than the latter. Although many authors think that this tumor arises from the submucosal esophageal gland, its histogenesis is still in dispute. A 60-year-old male patient had a tumor in the middle third of the esophagus which was incidentally found during gastrofiberscopy. The tumor was 1.5 cm sized and covered with intact mucosa. The patient underwent Ivor Lewis operation, and the postoperative complication of ARDS eventually subsided. On microscopic examination of the surgically resected specimen, the adenoid cystic carcinoma which was mainly confined to the submucosa extended to the proper muscle layer, however no regional lymph node metastasis was present. The patient is still alive and well 6 months after the surgery.

Keyword

Esophageal neplasm; Carcinoma

MeSH Terms

Adenoids*
Carcinoma, Adenoid Cystic*
Dissent and Disputes
Esophagus*
Humans
Lymph Nodes
Male
Middle Aged
Mucous Membrane
Neoplasm Metastasis
Postoperative Complications
Salivary Glands