Benign and malignant tumors of the esophagus at autopsy

Attah, E B; Hajdu, Steven I.

doi:10.1016/s0022-5223(19)42966-8

Cited by 92 publications

(25 citation statements)

References 11 publications

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“…Benign esophageal tumors are rare, with a prevalence ≤ 0.5%, [11] while benign tumors represent 20% of esophageal Neoplasms on autopsy. [12] In our study benign causes are responsible for dysphagia in most of the patients (53.4%) as shown in [ Table 1]. Benign esophageal tumors have a lower detection rate due to the fact that most patients are asymptomatic.…”

Section: Discussionmentioning

confidence: 65%

Spectrum of dysphagia Etiologies in North India; A Prospective Study from a Tertiary Health Center

Iqbal¹,

Mahmood²,

Hussain³

2018

AIMDR

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Background: Dysphagia is a commonly encountered clinical problem & limited data exist regarding the spectrum of dysphagia etiologies in this region. Our aim was to access the spectrum of dysphagia etiologies in North India. Methods: This was a prospective analysis of data collected over a period of four years for patients presented with complaint of dysphagia. All consenting patients presented with dysphagia irrespective of age, sex, duration and etiology of dysphagia were enrolled. After detail history, clinical examination and base line investigations, all patients underwent upper GI endoscopy, findings were noted and biopsy taken in case of pathological lesion found during endoscopy. Results: A total of 58 patients presented with symptoms of dysphagia were enrolled in this study. Among these patients 37 were male and 21 were female and age ranges from 17-100 years. Thirty one patients were diagnosed to have benign pathology, four had moderate to severe dysplasia and 23 were diagnosed to have malignant pathology. Most common benign etiology was GERD and most common malignant etiology was squamous cell carcinoma. Conclusion: Squamous cell carcinoma and GERD are two most common etiologies for dysphagia in our study group. Dysphagia was more common in males and malignant dysphagia was more in elderly smokers and naswar users.

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Section: Discussionmentioning

confidence: 65%

Spectrum of dysphagia Etiologies in North India; A Prospective Study from a Tertiary Health Center

Iqbal¹,

Mahmood²,

Hussain³

2018

AIMDR

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“…Histologically, the lumen of the cyst is covered with stratified squamous epithelium or embryonal pseudostratified epithelium resembling the esophageal epithelium and is characterized by being lined with two smooth muscle layers. It is a relatively rare disease which accounts for from 0.9 to 2.5% of mediasternal tumors [2][3][4] .…”

Section: Discussionmentioning

confidence: 99%

“…An esophageal duplication cyst is a cyst originating in the foregut. These cysts are relatively rare, accounting for 0.9 to 2.5% of mediasternal tumors [1][2][3][4] . A patient presented with a duplication cyst from the abdomen, which had perforated into the esophagus with a subsequent abscessation.…”

Section: Introductionmentioning

confidence: 99%

Esophageal Duplication Cyst with Abscessation: A case report

Naritaka

Kuhara

Shimakawa

et al. 2009

Ann. Cancer Res. Therap.

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An esophageal duplication cyst is a cyst originating in the foregut. These cysts are relatively rare, accounting for only 0.9 to 2.5% of mediasternal tumors. A patient presented with a duplication cyst from the abdomen, which had perforated into the esophageal lumen with a consequent abscessation. This cyst was surgically resected. The patient was a 57-year-old man and he presented at a nearby hospital with epigastric pain in November 2006. An examination revealed a mass perforating into the esophageal lumen with a hemorrhage directly above the esophagogastric junction. Although conservative treatment was administered for 4 months, the mass was associated with abscessation and progressed into an intractable condition. Therefore, the patient was referred for surgical treatment. An examination revealed a nearly semicircular submucosal tumor situated just superior to the esophagogastric junction and persistent draining was also noted from its central recess.Abdominal computed tomography, magnetic resonance imaging scans and echography demonstrated a cystic lesion, 50 mm in diameter, containing fluid, walled with a thick septum having an irregular luminal surface and abutting on the wall of the abdominal esophagus. A surgical resection was indicated for this condition because the possibility of malignancy could not be ruled out based on the diagnostic imaging results. A laparotomy with a lower esophagectomy and fundusectomy were performed in combination with reconstruction by jejunal interposition. After the operation the patient's condition was favorable and he is now being followed on an outpatient basis. The histopathological diagnosis of the present case was a duplication cyst associated with the microscopic features of inflammation.

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“…In large autopsy series, benign esophageal tumors were detected in about 0.5% of cases. 1 Leiomyomas and lipomas are the most frequent of the benign tumors of the esophagus and occasionally present as leiomyomatosis or lipomatosis of the entire esophageal wall. Fibrovascular polyps or so-called`giant esophageal (®brovascular) polyps' are exceedingly rare.…”

Section: Introductionmentioning

confidence: 99%

Fibrovascular esophageal polyp as a diagnostic challenge

Schuhmacher¹,

Becker²,

Dittler³

et al. 2008

Diseases of the Esophagus

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Fibrovascular polyps are rare benign esophageal tumors that usually arise from the proximal third of the esophagus. We present the case of a 48-year-old man with a history of dysphagia and 7-kg weight loss over a period of 2 months. A barium swallow showed a distended esophagus with a tumor extending from the upper esophageal sphincter to the cardia. On a thoracic computed tomographic scan, a homogeneous intramural mass with a density of 22 Houns®eld units was 1 seen, which extended throughout the entire esophagus. Fiberoptic endoscopy con®rmed the presence an intramural tumor beginning at the upper esophageal sphincter and reaching to the cardia. The tumor was completely covered with mucosa, except for an ulcerated area at its distal end, which herniated into the stomach. On endoscopic ultrasound, the tumor appeared to grow submucosally and to respect the muscularis propria. Endoscopic biopsies from the ulcerated distal aspect of the tumor suggested a leiomyoma. None of the imaging modalities used revealed evidence of a polyp or intraluminal esophageal tumor. Rather, a potentially malignant extensive intramural tumor was suspected, and an esophagectomy was performed. Only at the time of removal of the specimen did it become evident that the tumor mass was located intraluminally with a pedicle in the region of the upper esophageal sphincter. The ®nal pathological diagnosis was a giant ®brovascular polyp of the esophagus.

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Benign and malignant tumors of the esophagus at autopsy

Cited by 92 publications

References 11 publications

Spectrum of dysphagia Etiologies in North India; A Prospective Study from a Tertiary Health Center

Spectrum of dysphagia Etiologies in North India; A Prospective Study from a Tertiary Health Center

Esophageal Duplication Cyst with Abscessation: A case report

Fibrovascular esophageal polyp as a diagnostic challenge

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