A CASE OF TRUE CARCINOSARCOMA OF THE ESOPHAGUS
True carcinosarcoma is extremely rare and is characterized by a mixed tumor composed of a carcinoma and a genuine sarcoma. We describe here a case of true carcinosarcoma of the esophagus and review some literature on the subject. A 55-year-old man was admitted to our hospital with complaints of ches...
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| Published in | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 67; no. 12; pp. 2829 - 2832 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan Surgical Association
2006
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| Online Access | Get full text |
| ISSN | 1345-2843 1882-5133 |
| DOI | 10.3919/jjsa.67.2829 |
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| Abstract | True carcinosarcoma is extremely rare and is characterized by a mixed tumor composed of a carcinoma and a genuine sarcoma. We describe here a case of true carcinosarcoma of the esophagus and review some literature on the subject. A 55-year-old man was admitted to our hospital with complaints of chest pain. Barium swallow esophagogram showed a large polypoid lesion in the upper-middle thoracic esophagus. Endoscopic examination showed a type 1 tumor at the upper thoracic portion of the esophagus. Subtotal esophagectomy with cervical, thoracic, abdominal nodes dissection was performed. Histologically, the tumor was composed of a squamous cell carcinoma part and a sarcomatoid part which showed positive staining for α-smooth muscle actin. No transitional area between the two components was observed. Therefore, it was diagnosed as a true carcinosarcoma according to the Gvideline for Clinical and Pathological Studies on Carcinoma of the Esophagus. The patient died three months after the operation because of multiple metastasis to the bones, liver, and cervical lymph nodes. |
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| AbstractList | True carcinosarcoma is extremely rare and is characterized by a mixed tumor composed of a carcinoma and a genuine sarcoma. We describe here a case of true carcinosarcoma of the esophagus and review some literature on the subject. A 55-year-old man was admitted to our hospital with complaints of chest pain. Barium swallow esophagogram showed a large polypoid lesion in the upper-middle thoracic esophagus. Endoscopic examination showed a type 1 tumor at the upper thoracic portion of the esophagus. Subtotal esophagectomy with cervical, thoracic, abdominal nodes dissection was performed. Histologically, the tumor was composed of a squamous cell carcinoma part and a sarcomatoid part which showed positive staining for α-smooth muscle actin. No transitional area between the two components was observed. Therefore, it was diagnosed as a true carcinosarcoma according to the Gvideline for Clinical and Pathological Studies on Carcinoma of the Esophagus. The patient died three months after the operation because of multiple metastasis to the bones, liver, and cervical lymph nodes. |
| Author | TANAKA, Yasuhiro FUJII, Makoto MORIMOTO, Yoshikazu NISHIKAWA, Kazuhiro SAITOU, Tetsuya MIKATA, Shouki |
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| References | 8) 市川和人,曽我俊彦,村田哲也他:食道癌肉腫の1例本邦147報告例の臨床病理学的検討.三重医 37: 485-489, 1993 11) 桂木 誠,野辺奉文,奥村幸哉他:食道の「いわゆる癌肉腫」の2例.臨放 32: 735-738, 1987 2) 沓掛 諒:食道カルチノザルコーマの1例.日病理会誌 19: 763-765, 1929 3) 有馬美和子,神津照雄,小出義雄他:類骨形成を伴った食道の“いわゆる癌肉腫”の1例.胃と腸 30: 1437-1444, 1995 6) 板橋正幸,王 卓姫,廣田映五他:食道の“癌肉腫”の病理学的所見と組織発生.病理と臨 14: 1125-1131, 1996 9) Iyomasa S, Kato H, Tachimori Y, et al: Carcinosarcoma of the esophagus: a Twenty-case Study. Jpn J Clin Oncol 20: 99-106, 1990 15) 吉田一成,梁 英樹,秋山和宏他:巨大な縦隔腫瘍にて再発した食道のいわゆる癌肉腫の1例.日臨外会誌 57: 2995-2999, 1996 10) 浜辺 豊,佐藤美晴,小谷陽一他:肉腫様組織成分を伴った食道癌について自験例5例と癌肉腫・偽肉腫としての本邦報告例63例の検討.外科治療 52: 255-264, 1985 13) 小原靖尋,門馬公経,堀中 靖他:食道癌肉腫の1例.癌の臨 40: 977-982, 1994 4) Hanada M, Nakano K, Ii Y, et al: Carcinosarcoma of the esophagus with osseous and cartilaginous production. Acta Pathol Jpn 34: 669-678, 1984 5) Ooi A, Kawahara E, Okada Y, et al: Carcinosarcoma of the esophagus-An immunohistochemical and electron microscopic study. Acta Pathol Jpn 36: 151-159, 1986 12) 三宅基隆,丸田 力,神山久信他:放射線化学療法が有効であった食道癌肉腫の1例.癌の臨 49: 127-131, 2003 1) 食道疾患研究会編:食道癌取扱い規約.第9版,金原出版,東京, 1999 14) 岸本弘之,斎藤博昭,堅野国幸他:食道のいわゆる癌肉腫の1例.外科 64: 713-716, 2002 7) 大倉康男:食道原発癌肉腫の臨床と病理その細分類の問題点.病理と臨 20: 489-495, 2002 |
| References_xml | – reference: 1) 食道疾患研究会編:食道癌取扱い規約.第9版,金原出版,東京, 1999 – reference: 15) 吉田一成,梁 英樹,秋山和宏他:巨大な縦隔腫瘍にて再発した食道のいわゆる癌肉腫の1例.日臨外会誌 57: 2995-2999, 1996 – reference: 3) 有馬美和子,神津照雄,小出義雄他:類骨形成を伴った食道の“いわゆる癌肉腫”の1例.胃と腸 30: 1437-1444, 1995 – reference: 5) Ooi A, Kawahara E, Okada Y, et al: Carcinosarcoma of the esophagus-An immunohistochemical and electron microscopic study. Acta Pathol Jpn 36: 151-159, 1986 – reference: 11) 桂木 誠,野辺奉文,奥村幸哉他:食道の「いわゆる癌肉腫」の2例.臨放 32: 735-738, 1987 – reference: 12) 三宅基隆,丸田 力,神山久信他:放射線化学療法が有効であった食道癌肉腫の1例.癌の臨 49: 127-131, 2003 – reference: 10) 浜辺 豊,佐藤美晴,小谷陽一他:肉腫様組織成分を伴った食道癌について自験例5例と癌肉腫・偽肉腫としての本邦報告例63例の検討.外科治療 52: 255-264, 1985 – reference: 2) 沓掛 諒:食道カルチノザルコーマの1例.日病理会誌 19: 763-765, 1929 – reference: 14) 岸本弘之,斎藤博昭,堅野国幸他:食道のいわゆる癌肉腫の1例.外科 64: 713-716, 2002 – reference: 9) Iyomasa S, Kato H, Tachimori Y, et al: Carcinosarcoma of the esophagus: a Twenty-case Study. Jpn J Clin Oncol 20: 99-106, 1990 – reference: 7) 大倉康男:食道原発癌肉腫の臨床と病理その細分類の問題点.病理と臨 20: 489-495, 2002 – reference: 6) 板橋正幸,王 卓姫,廣田映五他:食道の“癌肉腫”の病理学的所見と組織発生.病理と臨 14: 1125-1131, 1996 – reference: 4) Hanada M, Nakano K, Ii Y, et al: Carcinosarcoma of the esophagus with osseous and cartilaginous production. Acta Pathol Jpn 34: 669-678, 1984 – reference: 8) 市川和人,曽我俊彦,村田哲也他:食道癌肉腫の1例本邦147報告例の臨床病理学的検討.三重医 37: 485-489, 1993 – reference: 13) 小原靖尋,門馬公経,堀中 靖他:食道癌肉腫の1例.癌の臨 40: 977-982, 1994 |
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