Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2022; 10(19): 6543-6547
Published online Jul 6, 2022. doi: 10.12998/wjcc.v10.i19.6543
Esophageal granular cell tumor: A case report
Ya-Lan Chen, Jing Zhou, Hui-Ling Yu
Ya-Lan Chen, Hui-Ling Yu, Department of Gastroenterology, the Affiliated Hospital of Hebei University, Baoding 071000, Hebei Province, China
Jing Zhou, Department of Gastroenterology, Wangdu County Hospital, Baoding 071000, Hebei Province, China
Author contributions: Chen YL wrote the initial draft and drafted the data and figures; Yu HL revised the draft; Zhou J provided clinical supervision and edited the manuscript; All authors approved the final version of the manuscript.
Informed consent statement: The study participant provided informed written consent prior to the study.
Conflict-of-interest statement: The authors declare that there are no conflicts of interest.
CARE Checklist (2016) statement: The article is consistent for CARE Checklist (2016) statemen.
Open-Access: This article 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 NonCommercial (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: Hui-Ling Yu, MA, Doctor, Department of Gastroenterology, the Affiliated Hospital of Hebei University, No. 212 Yuhua East Road, Baoding 071000, Hebei Province, China. 2290165473@qq.com
Received: September 14, 2021
Peer-review started: September 14, 2021
First decision: September 29, 2021
Revised: November 2, 2021
Accepted: May 5, 2022
Article in press: May 5, 2022
Published online: July 6, 2022
Processing time: 283 Days and 4.2 Hours
Abstract
BACKGROUND

Esophageal granular cell tumor (eGCT) is a relatively rare, usually benign neoplasm of the neuroectoderm. It is derived from Schwann cells. Clinical symptoms of this disease are non-specific. However, the most common presenting symptom is dysphagia, which is mostly misdiagnosed as esophageal polyps under gastroscopy, yet it has a 2% chance of forming cancers. We report the case of a 52-year-old woman with solitary eGCT, then analysed retrospectivelyanalyze the clinical features and elucidate on the reduction of misdiagnosis and missed diagnosis.

CASE SUMMARY

A 52-year-old woman was diagnosed with “esophageal granulossoma” after esophagoscopy, which was mistaken for eGCT.

CONCLUSION

eGCT diagnosis depends on characteristic pathomorphologies and detection of the S-100 protein. Endoscopic mucosal resection is the preferred therapeutic method.

Keywords: Esophageal granular cell tumor; Esophagoscopy; Endoscopic mucosal resection; Immunohistochemical; Case report

Core Tip: Esophageal granular cell tumor is a relatively rare, usually benign neoplasm of the neuroectoderm. It is derived from Schwann cells. Clinical symptoms of this disease are non-specific. However, the most common presenting symptom is dysphagia, which is mostly misdiagnosed as esophageal polyps under gastroscopy, yet it has a 2% chance of forming cancers. In this report, clinical features are analyzed to facilitate the reduction of misdiagnosis and missed diagnosis.