A case of undifferentiated pleomorphic sarcoma in esophagus after multiple cancer treatments of surgery and chemoradiotherapy.

Autor: Ebata, Yuho, Sakaguchi, Yoshihisa, Tsuda, Yasuo, Nambara, Sho, Kudou, Kensuke, Kusumoto, Eiji, Yoshida, Rintaro, Kusumoto, Tetsuya, Ikejiri, Koji
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Zdroj: Surgical Case Reports; 11/4/2022, Vol. 8 Issue 1, p1-7, 7p
Abstrakt: Background: Undifferentiated pleomorphic sarcoma (UPS) in the esophagus is extremely rare. Therefore, there are few reports of UPS in the esophagus (UPSE). We present a case of UPSE after multiple cancer treatments. Case presentation: A 73-year-old man with a history of cancer treatment, including distal gastrectomy, transverse colectomy, and chemoradiotherapy, was diagnosed with an elevated lesion such as a submucosal tumor in the lower esophagus by regular endoscopy. A boring biopsy was performed, and the specimen showed features of sarcoma. The patient underwent a partial esophagectomy without lymph node dissection. Histopathological findings confirmed an undifferentiated pleomorphic sarcoma. Adjuvant therapy was not administered, and the patient survived without recurrence 1 year after surgery. Conclusions: Currently, complete resection is the only treatment option for UPSE. An optimal treatment strategy using chemotherapy or radiotherapy should be established. [ABSTRACT FROM AUTHOR]
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