Esophageal Sarcomatoid Carcinoma Presenting as a Fever With Elevated Serum Leukocytes Sun-Kui Ke, MD, Hong-Bing Duan, MD, Ying-Jie Cai, MD, Yun-Peng.

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Presentation transcript:

Esophageal Sarcomatoid Carcinoma Presenting as a Fever With Elevated Serum Leukocytes Sun-Kui Ke, MD, Hong-Bing Duan, MD, Ying-Jie Cai, MD, Yun-Peng Cao, MD, Yuan Zhong, MD, Chao Hu, MD The Annals of Thoracic Surgery Volume 98, Issue 5, Pages e123-e125 (November 2014) DOI: 10.1016/j.athoracsur.2014.07.046 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Contrast-enhanced computed tomography scans obtained 2 days after admission showed a circumferential mass in the middle thoracic esophagus spanning. (B) Endoscopic examination findings show a large mass located 29 cm from the upper incisors that was almost completely obstructive. (C) Pathologic findings from the endoscopy: poorly differentiated squamous cell carcinoma (hematoxylin and eosin staining, ×100). The Annals of Thoracic Surgery 2014 98, e123-e125DOI: (10.1016/j.athoracsur.2014.07.046) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Intraoperative examination showed that the tumor did not invade adjacent organs. (B) The tumor was bisected, revealing a mass about 9.0 × 2.5 × 2.5 cm in the esophageal lumen with only a thin pedicel connecting it to the mucous membrane of the esophagus. (C) Pathologic findings from the postoperative specimens, revealing two tumor components: squamous cell carcinoma and malignant spindle-shaped cells (hematoxylin and eosin staining, ×100). The Annals of Thoracic Surgery 2014 98, e123-e125DOI: (10.1016/j.athoracsur.2014.07.046) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 The patient presented with persistent fever (blue symbols and line) and high concentrations of serum leukocytes (red symbols). After thoracic esophagectomy, the fever faded and leukocyte serum levels rapidly normalized. The Annals of Thoracic Surgery 2014 98, e123-e125DOI: (10.1016/j.athoracsur.2014.07.046) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions