Carcinoma escamoso sarcomatoide de la unión gastroesofágica: caso clínico

Rev. méd. Chile 2014; 142 (6): 786-790


Italo Braghetto
Gustavo Montesinos
Maher Musleh
Claudio Cortés
Facundo Las Heras
Carlos Domínguez

Esophageal sarcomatoid squamous carcinoma: Report of one case


Sarcomatoid squamous carcinoma (ESC) is a rare esophageal neoplasm, with a clinical, etiological and pathological behavior that differs from squamous cancer. From the histological point of view it has a dual configuration. The squamous epithelial component is usually limited to small areas, while the major part is constituted by mesenchymatous (sarcomatoid) polypoid tissue. Treatment is esophagectomy or total esophagogastrectomy depending on the tumor location. Early detection is critical in terms of survival. For large lesions, preoperative chemo-radiotherapy can be considered. We report a 78-year-old male presenting with dysphagia. An upper gastrointestinal endoscopy showed a tumor located below the cardia. The patient was subjected to a total esophageal and gastric resection. In a second operation, the digestive transit was reconstituted in 2 steps. The pathology report informed a sarcomatoid squamous carcinoma. After 18 months of follow up, the patient is ambulatory.

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