Limits...
Superficial Esophageal Neoplasms Overlying Leiomyomas Removed by Endoscopic Submucosal Dissection: Case Reports and Review of the Literature.

Seo M, Kim do H, Cho YW, Gong EJ, Lee S, Choi E, Jung HY, Kim JH - Clin Endosc (2015)

Bottom Line: The coexistence of an epithelial lesion and a subepithelial lesion is uncommon.In almost all such cases, the coexistence of these lesions appears to be incidental.Here, three cases of a superficial esophageal neoplasm that developed over an esophageal leiomyoma and was then successfully removed by endoscopic submucosal dissection are described.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

ABSTRACT
The coexistence of an epithelial lesion and a subepithelial lesion is uncommon. In almost all such cases, the coexistence of these lesions appears to be incidental. It is also extremely rare to encounter a neoplasm in the surface epithelium that overlies a benign mesenchymal tumor in the esophagus. Several cases of a coexisting esophageal neoplasm overlying a leiomyoma that is treated endoscopically or surgically have been reported previously. Here, three cases of a superficial esophageal neoplasm that developed over an esophageal leiomyoma and was then successfully removed by endoscopic submucosal dissection are described.

No MeSH data available.


Related in: MedlinePlus

(A) The endoscopic images show a subepithelial tumor with an eroded hyperemic lesion in the lower esophagus. (B) Lugol chromoendoscopy shows the iodine-unstained lesion. (C) Endoscopic ultrasonography demonstrates a hypoechoic, homogeneous lesion that originates from the muscularis mucosa and is covered by high-grade dysplasia. (D) The specimen with the lesion after en bloc resection.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4522425&req=5

Figure 5: (A) The endoscopic images show a subepithelial tumor with an eroded hyperemic lesion in the lower esophagus. (B) Lugol chromoendoscopy shows the iodine-unstained lesion. (C) Endoscopic ultrasonography demonstrates a hypoechoic, homogeneous lesion that originates from the muscularis mucosa and is covered by high-grade dysplasia. (D) The specimen with the lesion after en bloc resection.

Mentions: A 78-year-old man underwent EGD for screening because of anemia. EGD revealed an SET in the lower esophagus. Endoscopic biopsy showed high-grade dysplasia. EUS demonstrated a homogeneous and hypoechoic tumor that was 7.4×4.4 mm in size and located in the MM. It was concluded that the lesion had high-grade dysplasia and was a leiomyoma. Therefore, ESD was performed and the resected specimen was 30×23 mm in size (Fig. 5). Histopathological examination of the resected lesion revealed an esophageal leiomyoma that was 14×7×3 mm in size and covered with high-grade dysplasia. The resection margins were clear. After the treatment, the patient was followed up for 38 months with annual endoscopic examination. Local recurrence was not observed.


Superficial Esophageal Neoplasms Overlying Leiomyomas Removed by Endoscopic Submucosal Dissection: Case Reports and Review of the Literature.

Seo M, Kim do H, Cho YW, Gong EJ, Lee S, Choi E, Jung HY, Kim JH - Clin Endosc (2015)

(A) The endoscopic images show a subepithelial tumor with an eroded hyperemic lesion in the lower esophagus. (B) Lugol chromoendoscopy shows the iodine-unstained lesion. (C) Endoscopic ultrasonography demonstrates a hypoechoic, homogeneous lesion that originates from the muscularis mucosa and is covered by high-grade dysplasia. (D) The specimen with the lesion after en bloc resection.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4522425&req=5

Figure 5: (A) The endoscopic images show a subepithelial tumor with an eroded hyperemic lesion in the lower esophagus. (B) Lugol chromoendoscopy shows the iodine-unstained lesion. (C) Endoscopic ultrasonography demonstrates a hypoechoic, homogeneous lesion that originates from the muscularis mucosa and is covered by high-grade dysplasia. (D) The specimen with the lesion after en bloc resection.
Mentions: A 78-year-old man underwent EGD for screening because of anemia. EGD revealed an SET in the lower esophagus. Endoscopic biopsy showed high-grade dysplasia. EUS demonstrated a homogeneous and hypoechoic tumor that was 7.4×4.4 mm in size and located in the MM. It was concluded that the lesion had high-grade dysplasia and was a leiomyoma. Therefore, ESD was performed and the resected specimen was 30×23 mm in size (Fig. 5). Histopathological examination of the resected lesion revealed an esophageal leiomyoma that was 14×7×3 mm in size and covered with high-grade dysplasia. The resection margins were clear. After the treatment, the patient was followed up for 38 months with annual endoscopic examination. Local recurrence was not observed.

Bottom Line: The coexistence of an epithelial lesion and a subepithelial lesion is uncommon.In almost all such cases, the coexistence of these lesions appears to be incidental.Here, three cases of a superficial esophageal neoplasm that developed over an esophageal leiomyoma and was then successfully removed by endoscopic submucosal dissection are described.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

ABSTRACT
The coexistence of an epithelial lesion and a subepithelial lesion is uncommon. In almost all such cases, the coexistence of these lesions appears to be incidental. It is also extremely rare to encounter a neoplasm in the surface epithelium that overlies a benign mesenchymal tumor in the esophagus. Several cases of a coexisting esophageal neoplasm overlying a leiomyoma that is treated endoscopically or surgically have been reported previously. Here, three cases of a superficial esophageal neoplasm that developed over an esophageal leiomyoma and was then successfully removed by endoscopic submucosal dissection are described.

No MeSH data available.


Related in: MedlinePlus