Mucoepidermoid Carcinoma of the Esophagus

Sang Youn Shin; Min Kyu Chae; Min Seob Kwak; Jin Young Yoon; Jung Won Jeon; Jae Myung Cha

doi:10.4166/kjg.2019.74.3.159

Journal List > Korean J Gastroenterol > v.74(3) > 1134174

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Shin, Chae, Kwak, Yoon, Jeon, and Cha: Mucoepidermoid Carcinoma of the Esophagus

Case Report

The Korean Journal of Gastroenterology 2019; 74(3): 159-162.

Published online: 27 September 2019

DOI: https://doi.org/10.4166/kjg.2019.74.3.159

Mucoepidermoid Carcinoma of the Esophagus

Sang Youn Shin, Min Kyu Chae, Min Seob Kwak, Jin Young Yoon, Jung Won Jeon, Jae Myung Cha

Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.

Correspondence to: Jae Myung Cha, Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, 892 Dongnam-ro, Gangdong-gu, Seoul 05278, Korea. Tel: +82-2-440-6113, Fax: +82-2-440-6295, drcha@khu.ac.kr

Received 10 May 2019 Revised 8 June 2019 Accepted 13 June 2019

Korean Society of Gastroenterology

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Mucoepidermoid carcinoma is a malignant tumor that occurs mainly in the salivary glands of adults and children, but rarely in the esophagus. A surgical resection is the primary treatment for mucoepidermal carcinoma, and the prognosis has been reported to be poor. A 61-year-old man was diagnosed with an esophageal nodule in upper gastrointestinal endoscopy for the purpose of a medical examination without any special symptoms and an endoscopic resection was performed for an accurate diagnosis. An endoscopic mucosal resection was performed using a band ligation for a complete resection and continuous follow-up with no evidence of recurrence or metastasis. The unknown prognosis of endoscopic resection makes it necessary to follow the patient carefully.

Keywords: Esophagus, Endoscopic mucosal resection, Carcinoma, mucoepidermoid

Figures and Tables

Fig. 1

(A, B) Esophagogastroduodenoscopy showing a 6-7 mm sized esophageal nodule 31 cm from the upper incisor. The surface of the nodule was flat and the consistency was firm. (C, D) Standard endoscopic variceal ligation was used to aspirate the target lesion and apply a band around it. After removing the banding device, a separate snare was used to resect the lesion with an endoscopic mucosal resection.

Fig. 2

Microscopic findings showing a mucoepidermoid carcinoma consisting of squamous cells, mucus-producing cells and intermediate cells (A, B, H&E, ×200; C, H&E, ×400). Positive reaction to mucin in the mucicarmine stain (D, mucicarmine stain, ×400).

Notes

^{Financial support} This study was supported by a grant from the National R&D Program for Cancer Control, Ministry of Health & Welfare, Republic of Korea (1720230).

^{Conflict of interest} None.

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ORCID iDs: Jae Myung Cha
https://orcid.org/0000-0001-9403-230X
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