Intraluminal Pedunculated Liomyosarcoma of Esophagus -A Case Report

Tadashi Koga, Tatsuya Rikimaru, Hiroshi Yamaguchi, Takayuki Hamatsu, Motoyuki Yamagata and Takashi Sonoda

Department of Surgery, Saiseikai Karatsu Hospital

We report a rare case of intraluminal pedunculated liomyosarcoma of the esophagus. A 74-year-old man admitted for dysphagia due to blocked food was found in esophagoscopy to have an giant intraluminal esophageal mass. Upper gastrointestinal study, computed tomography, and biopsy under esophagoscopy showed an intraluminal pedunculated liomyosarcoma 10 cm long necessitating subtotal esophagectomy followed by an intrathoracic esophagogastric anastomosis. Histopathologically, liomyosarcoma arose from 96×50×30 mm muscularis mucosae. A pedunculated giant liomyosarcoma of the esophagus necessitates esophagectomy and close follow-up because of reports of lymph node metastases and brain metastasis from the lesion.

Key words
pedunculated leiomyosarcoma, esophagus, mascularis mucosae

Reprint requests
Tadashi Koga Department of Surgery, Saiseikai Karatsu Hospital
817 Motohata, Karatsu, 847-0852 JAPAN

Accepted
October 28, 2009

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