1
|
Chen H, Lee H, Liao M, Chang T, Lin C, Liao L, Chen K. The clinical and endoscopic features of esophageal ectopic sebaceous glands. ADVANCES IN DIGESTIVE MEDICINE 2020. [DOI: 10.1002/aid2.13187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Hui‐Fen Chen
- Department of Gastroenterology Taipei City Hospital, Renai Branch Taipei Taiwan
| | - Hsi‐Chang Lee
- Department of Gastroenterology Taipei City Hospital, Renai Branch Taipei Taiwan
| | - Min‐Kai Liao
- Department of Gastroenterology Taipei City Hospital, Renai Branch Taipei Taiwan
| | - Ting‐An Chang
- Department of Pathology Taipei City Hospital, Renai Branch Taipei Taiwan
| | - Chih‐Lin Lin
- Department of Gastroenterology Taipei City Hospital, Renai Branch Taipei Taiwan
| | - Li‐Ying Liao
- Department of Gastroenterology Taipei City Hospital, Renai Branch Taipei Taiwan
| | - Kuan‐Yang Chen
- Department of Gastroenterology Taipei City Hospital, Renai Branch Taipei Taiwan
| |
Collapse
|
2
|
Hashimoto H, Horiuchi H, Miura S, Takayanagi S, Gunji T, Morikawa T. Clinicopathologic Characteristics of Esophageal Ectopic Sebaceous Glands: Chronological Changes and Immunohistochemical Analysis. Int J Surg Pathol 2020; 29:378-384. [PMID: 32844680 DOI: 10.1177/1066896920951844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Esophageal ectopic sebaceous glands are very rare lesions. A series of 5 cases in a single report has been the maximum number described in the English literature to date. We conducted a clinicopathologic study of 8 cases of esophageal ectopic sebaceous glands. The median patient age at the time of diagnosis was 60 years (range, 50-71 years), and 7 of the 8 patients were male. A focal lesion was observed in 7 cases, whereas 1 case exhibited multiple lesions throughout the esophagus. Four patients had previously undergone upper gastrointestinal endoscopy; in 3 patients, the focal lesion had not been detected. After diagnosis, 3 cases showed spontaneous regression at least once. Immunohistochemically, sebocytes of all 8 cases were negative for the estrogen receptor (ER) and the progesterone receptor (PgR), whereas sebocytes of 5 cases were positive for the androgen receptor (AR). Basal/parabasal cells were positive for AR, ER, and PgR in 5, 7, and 4 cases, respectively. GATA3 was expressed in the sebocytes and basal/parabasal cells of 6 out of 7 available cases, whereas all of 7 available cases were negative for mammaglobin and GCDFP15. Our report provides the basic clinicopathologic characteristics of esophageal ectopic sebaceous glands by the largest case series reported in English literature to date. Furthermore, the chronological changes, particularly spontaneous regression, and immunohistochemical expression of hormone receptors and GATA3 are compatible with lesions resulting from congenital misplacement under hormonal regulation. Therefore, they seem to be congenital misplacements detectable as a result of hormonal stimulated growth.
Collapse
Affiliation(s)
- Hirotsugu Hashimoto
- NTT Medical Center Tokyo, Tokyo, Japan.,Tokyo Healthcare University, Tokyo, Japan
| | - Hajime Horiuchi
- NTT Medical Center Tokyo, Tokyo, Japan.,Tokyo Healthcare University, Tokyo, Japan
| | | | | | | | - Teppei Morikawa
- NTT Medical Center Tokyo, Tokyo, Japan.,Tokyo Healthcare University, Tokyo, Japan
| |
Collapse
|
3
|
Yeom DH, Ryu HS. Ectopic Sebaceous Gland in Esophagus Presenting as Subepithelial Tumor. Chonnam Med J 2019; 55:168-169. [PMID: 31598476 PMCID: PMC6769252 DOI: 10.4068/cmj.2019.55.3.168] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Revised: 07/03/2019] [Accepted: 07/04/2019] [Indexed: 11/17/2022] Open
Affiliation(s)
- Dong Han Yeom
- Department of Internal Medicine and Digestive Disease Research Institute, Wonkwang University School of Medicine, Iksan, Korea
| | - Han Seung Ryu
- Department of Internal Medicine and Digestive Disease Research Institute, Wonkwang University School of Medicine, Iksan, Korea
| |
Collapse
|
4
|
Jeon MS, Kim GH, Jeong DY, Park BK, Lee MW, Lee SJ, Park DY. Magnifying Endoscopy for Esophageal Ectopic Sebaceous Glands. Clin Endosc 2018; 51:495-497. [PMID: 29478307 PMCID: PMC6182283 DOI: 10.5946/ce.2017.187] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2017] [Accepted: 12/27/2017] [Indexed: 12/02/2022] Open
Abstract
Ectopic sebaceous glands are found very rarely in the esophagus; heretofore, several cases have been reported. The sebaceous gland is originally a source of an endodermal origin; however, there have been controversies regarding whether the origin of the esophageal ectopic sebaceous gland is ectodermal or endodermal. Ectopic sebaceous glands of the esophagus usually do not cause symptoms; thus, they are often found incidentally on endoscopy for routine health screening. Endoscopic findings are characterized by single or multiple yellow patches or nodular lesions of various sizes, sometimes with small central openings. We report two cases of esophageal ectopic sebaceous glands found incidentally during endoscopy with magnifying endoscopic findings. The lesions were in the mid-esophagus and lower esophagus, respectively, and both endoscopic findings were similar as multiple yellowish patches or plaques. Magnifying endoscopy revealed the openings of the excretory ducts surrounded by circular microvessels in both cases.
Collapse
Affiliation(s)
- Mu Song Jeon
- Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea
| | - Gwang Ha Kim
- Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea
| | - Dong Young Jeong
- Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea
| | - Byeong Kyu Park
- Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea
| | - Moon Won Lee
- Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea
| | - So-Jeong Lee
- Department of Medicine and Pathology, Pusan National University School of Medicine, Busan, Korea
| | - Do Youn Park
- Department of Medicine and Pathology, Pusan National University School of Medicine, Busan, Korea
| |
Collapse
|
5
|
Montalvo N, Tapia V, Padilla H, Redrobán L. Heterotopic sebaceous glands in the esophagus, a very rare histopathological diagnosis: a case report and review of the literature. Clin Case Rep 2017; 5:89-92. [PMID: 28174629 PMCID: PMC5290514 DOI: 10.1002/ccr3.791] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2016] [Revised: 08/05/2016] [Accepted: 08/16/2016] [Indexed: 11/10/2022] Open
Abstract
Sebaceous glands are very rarely found in the esophagus. Existing reports do not contain sufficient epidemiological, etiological, clinical, or prognostic data. Its histogenesis suggests heterotopia or metaplasia. Despite its extreme rarity, correct and generally easy identification enables establishing the proper patient monitoring.
Collapse
Affiliation(s)
| | - Verónica Tapia
- Departamento de PatologíaHospital de Sociedad de Lucha contra el Cáncer [SOLCA]QuitoEcuador
| | - Hernán Padilla
- Servicio de EndoscopíaHospital de Clínicas PichinchaQuitoEcuador
| | | |
Collapse
|
6
|
Park A, Lee JH, Park A, Jung YH, Chu HJ, Bae SS, Kim JK, Kim WY, Kim BK. Prevalence rate and clinical characteristics of esophageal ectopic sebaceous glands in asymptomatic health screen examinees. Dis Esophagus 2017; 30:1-5. [PMID: 26822541 DOI: 10.1111/dote.12453] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Ectopic sebaceous glands in the esophagus have rarely been reported and, thus, represent an obscure medical condition. The aim of this study is to identify the prevalence rate and clinical characteristics of this lesion in an asymptomatic population. We prospectively enrolled health screen examinees who underwent esophagogastroduodenoscopy for gastric cancer screening. An esophageal biopsy was performed in the cases in which esophageal ectopic sebaceous glands were suspected. The general characteristics of the examinees were analyzed based on their medical records. A total of 9989 examinees were enrolled, and five examinees were diagnosed with esophageal ectopic sebaceous glands between December 2012 and June 2014. The endoscopic findings of the esophageal ectopic sebaceous glands indicated multiple yellowish patches or papules, which varied in size. The histopathological findings indicated several lobulated sebaceous glands in the squamous epithelium with inflammatory infiltration. The follow-up endoscopic findings indicated that there was no grossly discernible change. In conclusion, esophageal ectopic sebaceous glands are present in 0.05% of asymptomatic subjects. This lesion is thought to be benign and is not related to clinical symptoms. Therefore, esophageal ectopic sebaceous glands do not require further treatment or follow-up, which makes endoscopists free from active efforts for differential diagnosis with other malignant diseases.
Collapse
Affiliation(s)
- Areum Park
- Department of Family Medicine, Health Promotion Center, Hong Ik Hospital, Seoul, South Korea
| | - Jung-Hyun Lee
- Department of Gastroenterology Digestive Disease Center, Hong Ik Hospital, Seoul, South Korea
| | - Ayoung Park
- Department of Pathology, Hong Ik Hospital, Seoul, South Korea
| | - Young-Hwan Jung
- Department of Family Medicine, Health Promotion Center, Hong Ik Hospital, Seoul, South Korea
| | - Hyung-Jun Chu
- Department of Gastroenterology Digestive Disease Center, Hong Ik Hospital, Seoul, South Korea
| | - Sang-Su Bae
- Department of Gastroenterology Digestive Disease Center, Hong Ik Hospital, Seoul, South Korea
| | - Jeong-Kwon Kim
- Department of Gastroenterology Digestive Disease Center, Hong Ik Hospital, Seoul, South Korea
| | - Won-Yong Kim
- Department of Family Medicine, Health Promotion Center, Hong Ik Hospital, Seoul, South Korea
| | - Byung-Kook Kim
- Department of Gastroenterology Digestive Disease Center, Hong Ik Hospital, Seoul, South Korea
| |
Collapse
|
7
|
Csanyi M, Arnaud M, Le Pessot F, Huet E, Piton N, Sabourin JC. [About 2 cases of ectopic sebaceous glands in esophagus: Endoscopic and histological correlations from biopsies and resected specimens]. Ann Pathol 2016; 36:134-8. [PMID: 26995103 DOI: 10.1016/j.annpat.2016.01.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2015] [Revised: 01/21/2016] [Accepted: 01/22/2016] [Indexed: 10/22/2022]
Abstract
Sebaceous glands are cutaneous annexes located in the dermis. Focal spots of ectopy of these glands are frequently identified in ectodermal tissues: they represent Fordyce's disease. However, only a few cases of ectopic sebaceous glands have been mentioned in non-ectodermic tissue. Fordyce spots of esophageal location are unusual, and most of them have been diagnosed from biopsy specimens. We report two cases of ectopic sebaceous glands in esophagus, the first diagnosed from a resected specimen, the second from biopsies. A literature review is carried out.
Collapse
Affiliation(s)
- Marie Csanyi
- Service d'anatomie et cytologie pathologiques, hôpital Charles-Nicolle, 1, rue de Germont, 76000 Rouen, France.
| | - Maxime Arnaud
- Service d'anatomie et cytologie pathologiques, hôpital Charles-Nicolle, 1, rue de Germont, 76000 Rouen, France
| | - Florence Le Pessot
- Service d'anatomie et cytologie pathologiques, hôpital Charles-Nicolle, 1, rue de Germont, 76000 Rouen, France
| | - Emmanuel Huet
- Service de chirurgie digestive Jean-Loygue, hôpital Charles-Nicolle, 1, rue de Germont, 76000 Rouen, France
| | - Nicolas Piton
- Service d'anatomie et cytologie pathologiques, hôpital Charles-Nicolle, 1, rue de Germont, 76000 Rouen, France
| | - Jean-Christophe Sabourin
- Service d'anatomie et cytologie pathologiques, hôpital Charles-Nicolle, 1, rue de Germont, 76000 Rouen, France
| |
Collapse
|
8
|
Tsai SJ, Lin CC, Chang CW, Hung CY, Shieh TY, Wang HY, Shih SC, Chen MJ. Benign esophageal lesions: Endoscopic and pathologic features. World J Gastroenterol 2015; 21:1091-1098. [PMID: 25632181 PMCID: PMC4306152 DOI: 10.3748/wjg.v21.i4.1091] [Citation(s) in RCA: 49] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2014] [Revised: 09/23/2014] [Accepted: 10/21/2014] [Indexed: 02/06/2023] Open
Abstract
Benign esophageal lesions have a wide spectrum of clinical and pathologic features. Understanding the endoscopic and pathologic features of esophageal lesions is essential for their detection, differential diagnosis, and management. The purpose of this review is to provide updated features that may help physicians to appropriately manage these esophageal lesions. The endoscopic features of 2997 patients are reviewed. In epithelial lesions, the frequency of occurrence was in the following order: glycogenic acanthosis, heterotopic gastric mucosa, squamous papilloma, hyperplastic polyp, ectopic sebaceous gland and xanthoma. In subepithelial lesions, the order was as follows: hemangioma, leiomyoma, dysphagia aortica and granular cell tumor. Most benign esophageal lesions can be diagnosed according to their endoscopic appearance and findings on routine biopsy, and submucosal lesions, by endoscopic resection. Management is generally based upon the confidence of diagnosis and whether the lesion causes symptoms. We suggest endoscopic resection of all granular cell tumors and squamous papillomas because, while rare, these lesions have malignant potential. Dysphagia aortica should be considered in the differential diagnosis of dysphagia in the elderly.
Collapse
|
9
|
Lee SH, Lee DJ, Kim KM, Kim KN, Kang JK. Ectopic sebaceous glands in the oesophagus: a case report and review of literature. Scott Med J 2014; 59:e1-5. [PMID: 24966210 DOI: 10.1177/0036933014542375] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
INTRODUCTION Most ectopic sebaceous glands have been reported in the tissues of ectodermal origin. However, there are relatively a few reports of ectopic sebaceous glands in the oesophagus, an organ of endodermal origin. CASE PRESENTATION We report the case of an asymptomatic 54-year-old man with ectopic oesophageal sebaceous glands. These lesions were incidentally observed in the distal oesophagus during screening endoscopy of gastric neoplasm and confirmed by histologic analysis. CONCLUSION Surveillance or resection with regard to ectopic sebaceous glands in the oesophagus is generally not required since there is no known malignant potential. However, anti-reflux treatment may be sometimes needed, if such symptoms are present in patients. Also, these lesions should be differentiated from other pathologic lesions of oesophagus that need to be treated. Thus, greater attention of endoscopists is required for detection and differential diagnosis of these lesions. The narrow-band imaging mode and/or endoscopic biopsy may be helpful.
Collapse
Affiliation(s)
- Seung-Hwa Lee
- Professor, Health Promotion Centre, Ajou University Hospital and Ajou University School of Medicine, South Korea
| | - Duck-Joo Lee
- Professor, Health Promotion Centre, Ajou University Hospital and Ajou University School of Medicine, South Korea
| | - Kwang-Min Kim
- Professor, Health Promotion Centre, Ajou University Hospital and Ajou University School of Medicine, South Korea
| | - Kyu-Nam Kim
- Professor, Health Promotion Centre, Ajou University Hospital and Ajou University School of Medicine, South Korea
| | - Joon-Koo Kang
- Professor, Department of Gastroenterology, Ajou Univerisity Hospital and Ajou University School of Medicine, South Korea
| |
Collapse
|
10
|
Suttorp AC, Heike M, Fähndrich M, Reis H, Lorenzen J. [Heterotopic sebaceous glands in the esophagus: case report with review of the literature]. DER PATHOLOGE 2013; 34:162-4. [PMID: 23111754 DOI: 10.1007/s00292-012-1714-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Heterotopia of sebaceous glands is a very rare endoscopically indistinct benign finding in the esophagus. To date only 30 cases have been reported in the literature. The lesions exhibit a considerable variation in number and size. No malignant transformation has yet been reported. From the pathologists' point of view an inflammatory or neoplastic process has to be excluded as the cause of the non-distinctive endoscopic findings.
Collapse
Affiliation(s)
- A-C Suttorp
- Institut für Pathologie, Klinikum Dortmund gGmbH, Standort Mitte, Dortmund.
| | | | | | | | | |
Collapse
|
11
|
Fukuchi M, Tsukagoshi R, Sakurai S, Kiriyama S, Horiuchi K, Yuasa K, Suzuki M, Yamauchi H, Tabe Y, Fukasawa T, Naitoh H, Kuwano H. Ectopic Sebaceous Glands in the Esophagus: Endoscopic Findings over Three Years. Case Rep Gastroenterol 2012; 6:217-22. [PMID: 22701398 PMCID: PMC3369260 DOI: 10.1159/000338651] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Sebaceous glands in the esophagus are rare and are of particular interest because of their as yet unknown origin. We report a case with ectopic sebaceous glands diagnosed by esophageal endoscopy and biopsy, with follow-up endoscopic examinations for 3 years. Few cases with follow-up endoscopic findings have been reported. In our case, there were no significant overall changes during 3 years of follow-up, but the lesions fluctuated over time. While taking the endoscopic findings of the present or past cases into account, we discuss the possible pathogenic mechanisms of this condition.
Collapse
Affiliation(s)
- Minoru Fukuchi
- Department of Surgery, Gunma University Graduate School of Medicine, Maebashi, Japan
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
12
|
van Esch E, Brennan S. Sebaceous gland metaplasia in the oesophagus of a cynomolgus monkey (Macaca fascicularis). J Comp Pathol 2012; 147:248-52. [PMID: 22305858 DOI: 10.1016/j.jcpa.2011.11.201] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2011] [Revised: 11/11/2011] [Accepted: 11/22/2011] [Indexed: 12/21/2022]
Abstract
Microscopical evaluation of tissues from a mature female cynomolgus monkey assigned to a 13-week oral toxicity study revealed nests of sebaceous cells within the mucosa of the distal oesophagus. The sebaceous cell nests showed normal differentiation from basally-oriented seboblasts to centrally-orientated mature sebocytes. No excretory ducts were found, but solitary or small groups of vacuolated sebocytes were present in the overlying normal, non-keratinized squamous epithelium. The finding of sebaceous cells, of presumed ectodermal origin, in the oesophageal mucosa, which is of endodermal origin, is of scientific interest. Different theories may explain the existence of this peculiarity, but sebaceous gland metaplasia is the most plausible. The mucosal change was thought to be unrelated to treatment and is the first case of sebaceous gland metaplasia reported in the oesophagus of a non-human primate.
Collapse
Affiliation(s)
- E van Esch
- InSight Pathology B.V., Oss, The Netherlands.
| | | |
Collapse
|
13
|
Shalin SC, Lyle S, Calonje E, Lazar AJF. Sebaceous neoplasia and the Muir-Torre syndrome: important connections with clinical implications. Histopathology 2010; 56:133-47. [PMID: 20055911 DOI: 10.1111/j.1365-2559.2009.03454.x] [Citation(s) in RCA: 78] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Sebaceous neoplasia comprises a spectrum ranging from benign to malignant. Proper histological identification is important for treatment, prognosis and potential association with the Muir-Torre syndrome (MTS). Our increased understanding of the significance and pathogenesis of these tumours has led to improved risk stratification, screening recommendations, and treatment of patients with an initial presentation of a sebaceous tumour. This review focuses on the diagnostic and histological features of sebaceous lesions, the MTS, and recent insights into the molecular pathogenesis of sebaceous tumours.
Collapse
Affiliation(s)
- Sara C Shalin
- Department of Pathology, Baylor College of Medicine, Houston, TX, USA
| | | | | | | |
Collapse
|