Case Report: Complete endoscopic submucosal dissection for occult superficial esophageal squamous cell carcinoma concealed by a large esophageal leiomyoma - Report - MDSpire
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Case Report: Complete endoscopic submucosal dissection for occult superficial esophageal squamous cell carcinoma concealed by a large esophageal leiomyoma
Endoscopic Submucosal Dissection for Hidden Superficial ESCC Case Study
Overview
This report details a case of superficial esophageal squamous cell carcinoma (ESCC) masked by a large esophageal leiomyoma. Endoscopic submucosal dissection (ESD) was successfully performed, leading to complete resection and favorable outcomes without complications.
Background
The coexistence of esophageal squamous cell carcinoma and leiomyoma is rare, posing significant diagnostic challenges. Benign-appearing lesions can obscure malignant changes, necessitating careful evaluation to avoid missed diagnoses. This case emphasizes the importance of advanced endoscopic techniques in identifying occult malignancies.
Data Highlights
No numerical data or trial data available in the article.
Key Findings
A 53-year-old woman was diagnosed with superficial ESCC concealed by a leiomyoma.
Subtle mucosal irregularity led to further evaluation and confirmation of carcinoma in situ.
Selective ESD achieved en bloc resection with negative margins and no complications.
Postoperative pathology indicated submucosal invasion, prompting recommendations for additional surgery, which the patient declined.
At 2-year follow-up, there was no recurrence of carcinoma, and the leiomyoma remained stable.
Clinical Implications
Expand on the role of multidisciplinary management and provide examples of adjuvant therapies.
Conclusion
Reiterate the significance of the case in the context of existing literature on ESCC and leiomyoma.
