Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2024; 12(27): 6105-6110
Published online Sep 26, 2024. doi: 10.12998/wjcc.v12.i27.6105
Successful endoscopic treatment of superficial esophageal cancer in a patient with esophageal variceal bleeding: A case report
Li Xu, Shan-Shan Chen, Chao Yang, Hai-Jun Cao
Li Xu, Shan-Shan Chen, Department of Gastrointestinal Medicine, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310018, Zhejiang Province, China
Chao Yang, Department of Orthopaedics, The 903rd Hospital of the PLA of China, Hangzhou 310000, Zhejiang Province, China
Hai-Jun Cao, Department of Gastroenterology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310018, Zhejiang Province, China
Author contributions: Xu L reviewed the literature and contributed to manuscript drafting; Yang C collected all the data related to the case report; Chen SS and Cao HJ revised the manuscript for important intellectual content; and all the authors read and approved the final manuscript.
Supported by the Zhejiang Medicine and Health Science and Technology Project, No. 2022RC217.
Informed consent statement: Written informed consent was obtained from the patient for the publication of this case report.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
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 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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shan-Shan Chen, MD, Attending Doctor, Department of Gastrointestinal Medicine, The First Affiliated Hospital of Zhejiang Chinese Medical University, No. 9 Street, Qiantang District, Hangzhou 310018, Zhejiang Province, China. chenshanshan198848@126.com
Received: January 27, 2024
Revised: June 21, 2024
Accepted: July 10, 2024
Published online: September 26, 2024
Processing time: 185 Days and 13.4 Hours
Core Tip

Core Tip: Esophageal varices (EVs) with bleeding and superficial esophageal cancer (SEC) are two different diseases. Their coexistence is rare in clinical practice. Endoscopic submucosal dissection (ESD) for SEC with EVs is one of the most challenging endoscopic procedures due to the high risk of bleeding and fibrosis caused by prior treatment. We report on a 75-year-old man with “black stool”. He had a history of cirrhosis and portal hypertension. After esophageal solitary venous dilatation and endoscopic injection sclerotherapy, ESD was successfully performed without significant complications, and the SEC was treated by R0 resection. This method may become the mainstream treatment for EVs with SEC.