[Basaloid Carcinoma of the Esophagus with Lugol-Voiding Lesions-A Case Report].

[Basaloid Carcinoma of the Esophagus with Lugol-Voiding Lesions-A Case Report].

Gan To Kagaku Ryoho. 2015 Nov;42(12):1899-901

Authors: Shimakawa T, Asaka S, Shimazaki A, Yamaguchi K, Usui T, Yokomizo H, Shiozawa S, Yoshimatsu K, Katsube T, Naritaka Y, Fujibayashi M

Abstract
Patients with Lugol-voiding lesions of the esophagus are frequently affected with multiple cancers. Basaloid carcinoma of the esophagus is a very rare disease characterized by growth in the submucosal layer that exhibits a submucosal tumor-like shape. There have been some reports that this type of carcinoma is biologically high-grade. We report a case of metachronous squamous cell carcinoma in situ and superficial basaloid carcinoma in the esophagus with Lugol-voiding lesions. A 63-yearold man underwent gastrectomy for gastric cancer at the age of 45 years. The subsequent surveillance endoscopy found a type 0-Ⅱc lesion in the esophagus in 2000. EMR was thus performed. The pathology showed squamous cell carcinoma in situ. Dysplasia was diagnosed based on the Lugol-voiding lesions, and EMR was performed twice. In 2014, a fourth EMR was performed after a high-grade intraepithelial neoplasia was diagnosed. The pathology showed squamous cell carcinoma in situ and a basaloid carcinoma in the lamina propria, T1a-LPM, ly0, v0, pHMX, pVM0. The patient has had no recurrence for approximately 1 year after the fourth EMR.

PMID: 26805210 [PubMed - in process]

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