Xiao-San Zhu, MM, Yi-Chen Dai, MD, Zhang-Xing Chen, MD

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Presentation transcript:

Giant Solitary Fibrous Tumor of Esophagus Resected by Endoscopic Submucosal Dissection Xiao-San Zhu, MM, Yi-Chen Dai, MD, Zhang-Xing Chen, MD The Annals of Thoracic Surgery Volume 100, Issue 6, Pages 2340-2343 (December 2015) DOI: 10.1016/j.athoracsur.2015.02.128 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Features of the mass. (A) Esophagoscopy shows a large mass with stalk occupying the entire esophageal lumen, which was extended to the fundus. (B) Barium immersion shows multiple irregular defects. (C) Computed tomography scanning demonstrates a tumor protruding into the esophageal lumen. (D) Endoscopic ultrasonography shows a submucosal mass located in the posterior wall of the upper esophagus to the fundus. The Annals of Thoracic Surgery 2015 100, 2340-2343DOI: (10.1016/j.athoracsur.2015.02.128) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The endoscopic submucosal dissection procedure. (A) A submucosal tumor in the esophagus was found and marked; (B) Mucosal injection. (C) A submucosal precut was created using an IT-2 knife. (D) The tumor was successfully exposed in the esophagus; the specimen was 22 cm × 3.5 cm. The Annals of Thoracic Surgery 2015 100, 2340-2343DOI: (10.1016/j.athoracsur.2015.02.128) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Immunohistochemical staining and follow-up esophagoscopy. (A) Bcl-2-positive (magnification ×20); (B) CD34-positive (magnification ×20); (C) 1 month and (D) 2 months postoperatively, follow-up esophagoscopy demonstrated a well-healed mucosa. The Annals of Thoracic Surgery 2015 100, 2340-2343DOI: (10.1016/j.athoracsur.2015.02.128) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions