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Surgery Today

, Volume 29, Issue 8, pp 777–781 | Cite as

A case of pseudosarcoma associated with type 3 squamous cell carcinoma of the esophagus: Report of a case

  • Suguru Kubota
  • Takayuki Morita
  • Katsuhiko Murakawa
  • Yasuhiro Hida
  • Yuji Miyasaka
  • Miyoshi Fujita
  • Hiroaki Suzuki
  • Toshiji Motohara
  • Hiroyuki Kato
Case Reports

Abstract

A case of a primary esophageal pseudosarcoma associated with an independent type 3 tumor is described herein. A 60-year-old male presented with dysphagia and chest discomfort. A clinical evaluation revealed a type 3 tumor in the middle of the esophagus, which was diagnosed after a biopsy to be squamous cell carcinoma (SCC). A subsequent gross examination of the subtotally removed esophagus revealed a polypoid tumor adjacent to the type 3 tumor. Histologically, the polypoid mass was composed of SCC and mesenchymal components without a transitional zone. The tumor was thus classified as a pseudosarcoma of the esophagus, and was unique in that this appeared to have developed independently from the SCC.

Key Words

esophageal cancer carcinosarcoma of the esophagus pseudosarcoma immunohistochemical study 

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References

  1. 1.
    Japanese Society for Esophageal Diseases (1992) Guidelines for the clinical and pathologic studies on carcinoma of the esophagus. Jpn J Surg 8:44–45Google Scholar
  2. 2.
    Japanese Society for Esophageal Diseases (1992) Guidelines for the clinical and pathologic studies on carcinoma of the esophagus. Jpn J Surg 8:33Google Scholar
  3. 3.
    Suzuki H, Moriya J, Nakahata A, Fujioka Y, Inoue K, Nagashima K (1998) Cyclin D1 gene amplification in esophageal carcinosarcoma shown by differential polymerase chain reaction. Hum Pathol 30:662–667CrossRefGoogle Scholar
  4. 4.
    Gal AA, Martin SE, Kernen JA, Patterson MJ (1987) Esophageal carcinoma with prominent spindle cell. Cancer 60:2244–2250CrossRefPubMedGoogle Scholar
  5. 5.
    Xu L, Sun C, Wu L, Chang Z, Liu T (1984) Clinical and pathological characteristics of carcinosarcoma of the esophagus. Ann Thorac Surg 37:197–203PubMedCrossRefGoogle Scholar
  6. 6.
    Iyomasa S, Kato H, Tachimori Y, Watanabe H, Yamaguchi H, Itabashi M (1990) Carcinosarcoma of the esophagus: a twenty-case study. Jpn J Clin Oncol 20:99–1065PubMedGoogle Scholar
  7. 7.
    Hansemann D (1904) Das gleichzeitige Vorkommen verschiedenartiger Geschwulste bei derselben Person. Z Krebsforsch 1:183–198CrossRefGoogle Scholar
  8. 8.
    Osamura Y, Watanabe K, Shimamura K, Kubota M, Hata J, Yamazaki S, Tamaoki N, Mitomi T (1978) Polypoid carcinoma of the esophagus. A unifying term for “carcinosarcoma” and “pseudosarcoma”. Am J Surg Pathol 2:201–208CrossRefPubMedGoogle Scholar
  9. 9.
    Matsusaka T, Watanabe H, Enjoji M (1976) Pseudosarcoma and carcinosarcoma of the esophagus. Cancer 37:1546–1555CrossRefPubMedGoogle Scholar
  10. 10.
    Lane N (1957) Pseudosarcoma (polypoid sarcoma-like masses) associated with squamous cell carcinoma of the mouth, fauces and larynx. Cancer 10:19–41CrossRefPubMedGoogle Scholar
  11. 11.
    Saphir O, Vass A (1938) Carcinosarcoma. Am J Cancer 33:331–361Google Scholar
  12. 12.
    Wang ZY, Itabashi M, Hirota T, Watanabe H, Kato H (1992) Immunohistochemical study of the histogenesis of esophageal carcinosarcoma. Jpn J Clin Oncol 22:377–386PubMedGoogle Scholar
  13. 13.
    Hinderleider CD, Aguam AS, Wilder JR (1979) Carcinosarcoma of the esophagus. Int Surg 64:13–19PubMedGoogle Scholar
  14. 14.
    Arima M, Kouzu T, Koide Y, Isono K, Horie H (1995) So-called carcinosarcoma of the esophagus with foci of osteoid formation (in Japanese with English abstract). Stomach Intest 30:1437–1444Google Scholar
  15. 15.
    Mori M, Mimori K, Sadanaga N, Watanabe M, Kuwano H, Sugimachi K (1994) Polypoid carcinoma of the esophagus. Jpn J Cancer Res 85:1131–1136PubMedGoogle Scholar
  16. 16.
    Hughes JH, Cruickshank AH (1969) Pseudosarcoma of the oesophagus. Br J Surg 561:72–76CrossRefGoogle Scholar
  17. 17.
    Taniyama K, Sasaki N, Mukai T, Uemura N, Miyoshi N, Nakai H, Nakayama H, Tahara E (1995) Carcinosarcomas of the esophagus. Pathol Int 45:297–302CrossRefPubMedGoogle Scholar
  18. 18.
    Casson AG, Kerkvliet N, O'Malley F, Inculet R, Troster M (1994) P53 immunoreactivity in carcinosarcoma of the esophagus. J Surg Oncol 56:132–135CrossRefPubMedGoogle Scholar
  19. 19.
    Kimura N, Tezuka F, Ono I, Ishioka K, Sasano N (1989) Myogenic expression in esophageal polypoid tumor. Arch Pathol Lab Med 113:1159–1165PubMedGoogle Scholar
  20. 20.
    Lichtiger B, Mackay B, Tessmer CF (1970) Spindle cell variant of squamous carcinoma. A light and electron microscopic study of 13 cases. Cancer 26:131–120CrossRefGoogle Scholar
  21. 21.
    Ikura Y, Hosotani R, Aoyama H, Ogata M, Hayashi M, Takamine Y, Uchida H, Shirane H, Ishikawa T (1993) Carcinosarcoma of the esophagus: a report of two cases. Surg Today 23:562–567CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 1999

Authors and Affiliations

  • Suguru Kubota
    • 1
  • Takayuki Morita
    • 1
  • Katsuhiko Murakawa
    • 1
  • Yasuhiro Hida
    • 1
  • Yuji Miyasaka
    • 1
  • Miyoshi Fujita
    • 1
  • Hiroaki Suzuki
    • 2
  • Toshiji Motohara
    • 3
  • Hiroyuki Kato
    • 3
  1. 1.Department of SurgeryHokkaido Gastroenterology HospitalSapporoJapan
  2. 2.Second Department of PathologyHokkaido University School of MedicineSapporoJapan
  3. 3.Department of SurgeryHokkaido University School of MedicineSapporoJapan

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