An Esophageal Squamous Cell Carcinoma with Lymph Node Metastasis Presenting as a Small Subepithelial Tumor
- Author:
Jang Won PARK
1
;
Eun Jeong GONG
;
Myeongsook SEO
;
Baek Gyu JUN
;
Hyun Il SEO
;
Jong Kyu PARK
;
Koon Hee HAN
;
Sang Jin LEE
;
Young Don KIM
;
Woo Jin JEONG
;
Gab Jin CHEON
Author Information
- Publication Type:Case Report
- Keywords: Endosonography; Esophageal neoplasms; Squamous cell carcinoma
- MeSH: Aged; Biopsy; Biopsy, Fine-Needle; Carcinoma, Squamous Cell; Diagnosis; Endosonography; Epithelial Cells; Esophageal Neoplasms; Esophagus; Hoarseness; Humans; Lymph Nodes; Neoplasm Metastasis; Surgical Instruments; Thorax; Tomography, X-Ray Computed
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2019;19(4):272-276
- CountryRepublic of Korea
- Language:English
- Abstract: A subepithelial tumor-like esophageal carcinoma is rare. We report a case of an esophageal squamous cell carcinoma with lymph node metastasis presenting as a small subepithelial tumor. A 68-year-old man presented to our hospital complaining of hoarseness since last three months. Endoscopic examination revealed a 1 cm hard and fixed subepithelial tumor with surface erosion in the lower esophagus. A biopsy specimen was obtained using conventional forceps, and histopathological evaluation revealed few atypical squamous epithelial cells. Subsequent EUS demonstrated a homogeneous hypoechoic lesion in the deep mucosal layer. A CT scan of the chest showed a 3 cm mass in the right upper paratracheal area. EUS-guided fine needle biopsy of the lesion led to the diagnosis of squamous cell carcinoma with lymph node metastasis.
