Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Nov 16, 2019; 11(11): 541-547
Published online Nov 16, 2019. doi: 10.4253/wjge.v11.i11.541
Oesophageal carcinoma mimicking a submucosal lesion: A case report
Revathy Marimuthu Shanmugam, Chitra Shanmugam, Manimaran Murugesan, Muthukumaran Kalyansundaram, Sathya Gopalsamy, Amiya Ranjan
Revathy Marimuthu Shanmugam, Chitra Shanmugam, Manimaran Murugesan, Muthukumaran Kalyansundaram, Sathya Gopalsamy, Amiya Ranjan, Department of Medical Gastroenterology, Government Stanley Medical College, Chennai 600001, Tamil Nadu, India
Author contributions: Shanmugam RM and Murugesan M both were involved in management of case and preparation of manuscript; Shanmugam C and Kalyansundaram M were responsible for the revision of the manuscript for important intellectual content and collecting references; Gopalsamy S and Ranjan A both were involved in workup of the case and also helped in preparing the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This is an open-access article that 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/
Corresponding author: Amiya Ranjan, MD, Academic Fellow, DM Post Graduate, Department of Medical Gastroenterology, Government Stanley Medical College, No. 1, Old Jail Road, Chennai 600001, Tamil Nadu, India. amiya.gmc@gmail.com
Telephone: +91-9-304360625
Received: May 17, 2019
Peer-review started: May 20, 2019
First decision: August 2, 2019
Revised: August 17, 2019
Accepted: September 11, 2019
Article in press: September 11, 2019
Published online: November 16, 2019
Processing time: 180 Days and 22.6 Hours
Core Tip

Core tip: A 50 year old male presented with a progressive mechanical type of dysphagia. Upper gastrointestinal endoscopy revealed a large, hemispherical lesion with normal-appearing overlying mucosa. An endoscopic ultrasound (EUS) fine needle biopsy was done. Histopathology was consistent with well-differentiated squamous cell carcinoma. This is to highlight that intramural esophageal squamous cell carcinoma may look like a benign submucosal lesion upon endoscopy, and that a EUS biopsy is needed for final diagnosis.