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Oesophageal carcinoma mimicking a submucosal lesion: A case report

World Journal of Gastrointestinal Endoscopy 2019年第11期11卷 541-547页

作者： Revathy Marimuthu Shanmugam Chitra Shanmugam Manimaran Murugesan muthukumaran kalyansundaram Sathya Gopalsamy Amiya Ranjan Department of Medical Gastroenterology Government Stanley Medical College

BACKGROUND Oesophageal cancer is the fourth most common cause of cancer-related deaths in *** squamous cell carcinomas(ESCCs)arise from the epithelial layer,and commonly present as polypoidal,ulcerative or ulceroproliferative growth in the oesophageal *** contrast,oesophageal submucosal tumours are a distinct group of tumours arising from the mesenchyme(examples include leiomyoma,fibrovasculoma,lipoma,granular cell tumour or carcinoid),and mostly do not breach the *** submucosal tumours are a distinct group of tumours arising from the mesenchyme,and mostly do not breach the *** intramural growth of an advanced primary ESCC is an exceedingly rare presentation,with only six cases reported in the literature thus *** herein report a case of primary ESCC with complete intramural invasion that endoscopically mimics a submucosal *** SUMMARY A 50 year old male presented with a progressive mechanical type of dysphagia for one *** history was significant,including squamous cell carcinoma of the tongue that was treated with surgery and chemoradiation 1 year *** gastrointestinal endoscopy revealed a large,hemispherical lesion with normalappearing overlying mucosa about 4 cm×5 cm in size extending from 30-34 cm from *** patient underwent endoscopic ultrasound(EUS),and a fineneedle biopsy was performed,which was suggestive for squamous cell *** herein report a case of primary ESCC with complete intramural invasion,endoscopically mimicking a submucosal *** diagnosis could be established only by a EUS-guided *** This case report highlights that intramural ESCC may look like a submucosal lesion in endoscopy,and EUS biopsy is needed for final diagnosis.

关键词： Intramural esophageal squamous cell carcinoma Submucosal lesion of esophagus Endoscopic ultrasound Case report

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