Niimi K, Kodashima S, Ono S, Goto O, Yamamichi N, Fujishiro M. Curative ESD for intraepithelial esophageal carcinoma with leiomyoma mimicking submucosal invasive carcinoma. World J Gastrointest Endosc 2009; 1(1): 68-71 [PMID: 21160655 DOI: 10.4253/wjge.v1.i1.68]
Corresponding Author of This Article
Mitsuhiro Fujishiro, MD, PhD, Department of Gastroenterology, Graduate School of Medicine, the University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113-8655, Japan. mtfujish-kkr@umin.ac.jp
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Keiko Niimi, Shinya Kodashima, Satoshi Ono, Osamu Goto, Nobutake Yamamichi, Mitsuhiro Fujishiro, Department of Gastroenterology, Graduate School of Medicine, the University of Tokyo, Tokyo 113-8655, Japan
Author contributions: Niimi K drafted the article and Fujishiro M revised it intensively; All the authors managed the patient, gave the intellectual comments on the critical revision and approved the final version.
Correspondence to: Mitsuhiro Fujishiro, MD, PhD, Department of Gastroenterology, Graduate School of Medicine, the University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113-8655, Japan. mtfujish-kkr@umin.ac.jp
Telephone: +81-3-38155411 Fax: +81-3-58008806
Received: February 21, 2009 Revised: March 22, 2009 Accepted: March 29, 2009 Published online: October 15, 2009
Abstract
This case report presents a 65-year-old man who developed early esophageal cancer with leiomyoma treated by endoscopic submucosal dissection (ESD). There have been several reports of co-existing superficial esophageal cancer and leiomyoma treated by endoscopic mucosal resection. However, there is no previous report describing the co-existing lesion treated by ESD. In order to determine treatment strategies for esophageal cancer, accurate endoscopic evaluation of the cancerous depth is essential. In the present case, the combination of endoscopic ultrasonography and narrow-band imaging system with magnifying endoscopy was extremely useful to evaluate the superficial esophageal cancer with leiomyoma, which lead to the appropriate treatment, ESD.
