Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 6, 2020; 8(19): 4624-4632
Published online Oct 6, 2020. doi: 10.12998/wjcc.v8.i19.4624
Endoscopic palliative resection of a giant 26-cm esophageal tumor: A case report
Yan Li, Lin-Jie Guo, Ying-Cai Ma, Lian-Song Ye, Bing Hu
Yan Li, Lin-Jie Guo, Lian-Song Ye, Bing Hu, Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Ying-Cai Ma, Department of Digestion, Qinghai Provincial People's Hospital, Xining 810007, Qinghai Province, China
Author contributions: Li Y, Hu B, and Ma YC found this patient and conceived the study; Hu B, Ma YC, and Guo LJ performed the treatment; Li Y and Guo LJ drafted the article; Ye LS and Hu B provided critical revision to the article; all authors approved the final version.
Supported by National Key Research and Development Program of China, No. 2017YFC0112304.
Informed consent statement: Informed consent was obtained from the patient.
Conflict-of-interest statement: All authors declare no conflict of interests.
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: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Bing Hu, MBBS, MD, Chief Doctor, Professor, Department of Gastroenterology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu 610041, Sichuan Province, China. hubingnj@163.com
Received: June 19, 2020
Peer-review started: June 19, 2020
First decision: July 24, 2020
Revised: July 28, 2020
Accepted: September 4, 2020
Article in press: September 4, 2020
Published online: October 6, 2020
Processing time: 100 Days and 10.3 Hours
Core Tip

Core Tip: A patient presented with dysphagia and weight loss for 1 mo. Imaging and endoscopy indicated a polypoid stalk-like mass located in the middle and lower esophagus, almost filling the whole esophageal lumen. Repeated biopsies failed to diagnose its nature. An endoscopic palliative resection was performed on this patient, and no postoperative complications occurred. After 1 mo, the patient gained 6 kg and endoscopic reexamination revealed no obstruction. This is the largest endoscopically resected esophageal carcinosarcoma reported to date. Endoscopic palliative resection can help obtain adequate tissue for diagnosis and relieve the obstruction.