Adenoid Cystic Carcinoma of the Esophagus: A Case Report.
- Author:
Jae Ik LEE
1
;
Sook Whan SUNG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University, College of Medicine, Korea.
- Publication Type:Case Report
- Keywords:
Esophageal neplasm;
Carcinoma
- MeSH:
Adenoids*;
Carcinoma, Adenoid Cystic*;
Dissent and Disputes;
Esophagus*;
Humans;
Lymph Nodes;
Male;
Middle Aged;
Mucous Membrane;
Neoplasm Metastasis;
Postoperative Complications;
Salivary Glands
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(12):1247-1250
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Adenoid cystic carcinoma of the esophagus was regarded as an esophageal counterpart of the more common adenoid cystic carcinoma of the salivary gland. However it is a rare lesion which has more malignant differentiations and thus shows more aggressive clinical behaviors than the latter. Although many authors think that this tumor arises from the submucosal esophageal gland, its histogenesis is still in dispute. A 60-year-old male patient had a tumor in the middle third of the esophagus which was incidentally found during gastrofiberscopy. The tumor was 1.5 cm sized and covered with intact mucosa. The patient underwent Ivor Lewis operation, and the postoperative complication of ARDS eventually subsided. On microscopic examination of the surgically resected specimen, the adenoid cystic carcinoma which was mainly confined to the submucosa extended to the proper muscle layer, however no regional lymph node metastasis was present. The patient is still alive and well 6 months after the surgery.
