Korean J Gastroenterol.  2015 Nov;66(5):277-281. 10.4166/kjg.2015.66.5.277.

Esophageal Hemangioma Treated by Endoscopic Mucosal Resection: A Case Report and Review of the Literature

• Kim JH
• Jung SW
• Song JG
• Choe JW
• Kim SY
• Hyun JJ
• Jung YK
• Koo JS
• Yim HJ
• Lee SW

• KMID: 2373357
• DOI: http://doi.org/10.4166/kjg.2015.66.5.277

Abstract

Hemangioma of the esophagus is a rare form of benign esophageal tumor. It usually presents as a single lesion located in the lower third of the esophagus and is mostly asymptomatic. However, it may occasionally cause hematemesis and/or obstruction. Surgical resection is the conventional treatment modality for managing esophageal hemangioma, but less invasive approaches such as endoscopic therapy are recently becoming more widely employed. Herein, we report a case of a 54-year-old man who presented with an esophageal hemangioma that was successfully treated by endoscopic mucosal resection without any complications.

Keyword

Hemangioma; Esophagus; Esophageal neoplasms; Endoscopy

MeSH Terms

Antigens, CD31/metabolism
Esophageal Diseases/*diagnosis/surgery
Esophagoscopy
Esophagus/diagnostic imaging/metabolism/pathology
Hemangioma/*diagnosis/surgery
Humans
Intestinal Mucosa/metabolism/pathology
Male
Middle Aged
Tomography, X-Ray Computed
Antigens, CD31

Figure

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  Fig. 1. Endoscopic image showing a bluish soft round protruding submucosal mass in the lower esophagus.

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  Fig. 2. CT finding. A poorly enhancing mass (arrow) is observed within the lower esophageal lumen.

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  Fig. 3. EUS findings. (A) The tumor is located in the submucosal layer and shows heterogenous echogenicity that is well separated from adjacent tissue. (B) It has no continuity with adjacent vessels.

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  Fig. 4. (A) The lesion is being resected by conventional endoscopic mucosal resection technique after injecting saline into the base of the mass. (B) The resected specimen is a dark red colored mass that measures 14×14 mm in size.

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  Fig. 5. Histopathologic findings. (A) Dilated blood vessels are surrounded by flat endothelial cells in the submucosa (H&E, ×40). (B) Dilated vessels lined by flattened endothelium show communication with each other (H&E, ×100). (C) The endothelial cells are positive for CD-31 and (D) negative for D2–40 on immunohistochemistry stain (×200).

Reference

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