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Ebata Y, Sakaguchi Y, Tsuda Y, Nambara S, Kudou K, Kusumoto E, Yoshida R, Kusumoto T, Ikejiri K. A case of undifferentiated pleomorphic sarcoma in esophagus after multiple cancer treatments of surgery and chemoradiotherapy. Surg Case Rep 2022; 8:205. [PMID: 36333516 PMCID: PMC9636335 DOI: 10.1186/s40792-022-01560-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 10/20/2022] [Indexed: 11/06/2022] Open
Abstract
Background Undifferentiated pleomorphic sarcoma (UPS) in the esophagus is extremely rare. Therefore, there are few reports of UPS in the esophagus (UPSE). We present a case of UPSE after multiple cancer treatments. Case presentation A 73-year-old man with a history of cancer treatment, including distal gastrectomy, transverse colectomy, and chemoradiotherapy, was diagnosed with an elevated lesion such as a submucosal tumor in the lower esophagus by regular endoscopy. A boring biopsy was performed, and the specimen showed features of sarcoma. The patient underwent a partial esophagectomy without lymph node dissection. Histopathological findings confirmed an undifferentiated pleomorphic sarcoma. Adjuvant therapy was not administered, and the patient survived without recurrence 1 year after surgery. Conclusions Currently, complete resection is the only treatment option for UPSE. An optimal treatment strategy using chemotherapy or radiotherapy should be established.
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Affiliation(s)
- Yuho Ebata
- grid.415613.4Department of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical Center, Jigyohama 1-8-1, Chuo-Ku, Fukuoka, 810-8563 Japan
| | - Yoshihisa Sakaguchi
- grid.415613.4Department of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical Center, Jigyohama 1-8-1, Chuo-Ku, Fukuoka, 810-8563 Japan
| | - Yasuo Tsuda
- grid.415613.4Department of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical Center, Jigyohama 1-8-1, Chuo-Ku, Fukuoka, 810-8563 Japan
| | - Sho Nambara
- grid.415613.4Department of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical Center, Jigyohama 1-8-1, Chuo-Ku, Fukuoka, 810-8563 Japan
| | - Kensuke Kudou
- grid.415613.4Department of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical Center, Jigyohama 1-8-1, Chuo-Ku, Fukuoka, 810-8563 Japan
| | - Eiji Kusumoto
- grid.415613.4Department of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical Center, Jigyohama 1-8-1, Chuo-Ku, Fukuoka, 810-8563 Japan
| | - Rintaro Yoshida
- grid.415613.4Department of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical Center, Jigyohama 1-8-1, Chuo-Ku, Fukuoka, 810-8563 Japan
| | - Tetsuya Kusumoto
- grid.415613.4Department of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical Center, Jigyohama 1-8-1, Chuo-Ku, Fukuoka, 810-8563 Japan
| | - Koji Ikejiri
- grid.415613.4Department of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical Center, Jigyohama 1-8-1, Chuo-Ku, Fukuoka, 810-8563 Japan
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Brett CL, Miller DH, Jiang L, Wolfsen HC, Attia S, Hintenlang L, Jagadesh N, Miller RC. Dedifferentiated Liposarcoma of the Esophagus: A Case Report and Selected Review of the Literature. Rare Tumors 2016; 8:6791. [PMID: 28191296 PMCID: PMC5226054 DOI: 10.4081/rt.2016.6791] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2016] [Accepted: 10/20/2016] [Indexed: 01/05/2023] Open
Abstract
Soft tissue sarcomas of the esophagus represent an extremely rare cause of esophageal masses, and an even smaller proportion of these tumors represent dedifferentiated liposarcomas. We present a case of a 75-year-old gentleman presenting with dysphagia found to have a 5 cm pedunculated mass in the cervical esophagus, originating at the cricopharyngeus. This was found to have involvement limited to the superficial mucosa by endoscopic ultrasound, and the lesion was subsequently resected endoscopically. Pathology demonstrated an undifferentiated pleomorphic sarcoma later determined to represent dedifferentiated liposarcoma after fluorescence in situ hybridization analysis. The patient received no additional adjuvant therapy and remains disease free 20 months from the procedure. While treatment experience is limited, our case demonstrates that in selected patients, sustained local control can be obtained without radical resection.
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Affiliation(s)
- Christopher L Brett
- Departments of Internal Medicine, Clinic Mayo, Jacksonville, FL, USA; Departments of Oncology Radiation, Clinic Mayo, Jacksonville, FL, USA
| | - Daniel H Miller
- Departments of Oncology Radiation, Clinic Mayo , Jacksonville, FL, USA
| | - Liuyan Jiang
- Departments of Pathology, Clinic Mayo , Jacksonville, FL, USA
| | - Herbert C Wolfsen
- Departments of Gastroenterology, Clinic Mayo , Jacksonville, FL, USA
| | - Steven Attia
- Departments of Oncology, Clinic Mayo , Jacksonville, FL, USA
| | - Lauren Hintenlang
- Departments of Oncology Radiation, Clinic Mayo , Jacksonville, FL, USA
| | | | - Robert C Miller
- Departments of Oncology Radiation, Clinic Mayo , Jacksonville, FL, USA
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