Carcinoma escamoso sarcomatoide de la unión gastroesofágica: caso clínico

Sarcomatoid squamous carcinoma (ESC) is a rare esophageal neoplasm, with a clinical, etiological and pathological behavior that differs from squamous cancer. From the histological point of view it has a dual configuration. The squamous epithelial component is usually limited to small areas, while th...

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Autores principales:	Braghetto,Italo, Montesinos,Gustavo, Musleh,Maher, Cortés,Claudio, Las Heras,Facundo, Domínguez,Carlos
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2014
Materias:	Carcinosarcoma Esophageal Junction Esophageal Neoplasms
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000600014
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spelling	oai:scielo:S0034-988720140006000142014-11-06Carcinoma escamoso sarcomatoide de la unión gastroesofágica: caso clínicoBraghetto,ItaloMontesinos,GustavoMusleh,MaherCortés,ClaudioLas Heras,FacundoDomínguez,Carlos Carcinosarcoma Esophageal Junction Esophageal Neoplasms Sarcomatoid squamous carcinoma (ESC) is a rare esophageal neoplasm, with a clinical, etiological and pathological behavior that differs from squamous cancer. From the histological point of view it has a dual configuration. The squamous epithelial component is usually limited to small areas, while the major part is constituted by mesenchymatous (sarcomatoid) polypoid tissue. Treatment is esophagectomy or total esophagogastrectomy depending on the tumor location. Early detection is critical in terms of survival. For large lesions, preoperative chemo-radiotherapy can be considered. We report a 78-year-old male presenting with dysphagia. An upper gastrointestinal endoscopy showed a tumor located below the cardia. The patient was subjected to a total esophageal and gastric resection. In a second operation, the digestive transit was reconstituted in 2 steps. The pathology report informed a sarcomatoid squamous carcinoma. After 18 months of follow up, the patient is ambulatory.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.6 20142014-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000600014es10.4067/S0034-98872014000600014
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Carcinosarcoma Esophageal Junction Esophageal Neoplasms
spellingShingle	Carcinosarcoma Esophageal Junction Esophageal Neoplasms Braghetto,Italo Montesinos,Gustavo Musleh,Maher Cortés,Claudio Las Heras,Facundo Domínguez,Carlos Carcinoma escamoso sarcomatoide de la unión gastroesofágica: caso clínico
description	Sarcomatoid squamous carcinoma (ESC) is a rare esophageal neoplasm, with a clinical, etiological and pathological behavior that differs from squamous cancer. From the histological point of view it has a dual configuration. The squamous epithelial component is usually limited to small areas, while the major part is constituted by mesenchymatous (sarcomatoid) polypoid tissue. Treatment is esophagectomy or total esophagogastrectomy depending on the tumor location. Early detection is critical in terms of survival. For large lesions, preoperative chemo-radiotherapy can be considered. We report a 78-year-old male presenting with dysphagia. An upper gastrointestinal endoscopy showed a tumor located below the cardia. The patient was subjected to a total esophageal and gastric resection. In a second operation, the digestive transit was reconstituted in 2 steps. The pathology report informed a sarcomatoid squamous carcinoma. After 18 months of follow up, the patient is ambulatory.
author	Braghetto,Italo Montesinos,Gustavo Musleh,Maher Cortés,Claudio Las Heras,Facundo Domínguez,Carlos
author_facet	Braghetto,Italo Montesinos,Gustavo Musleh,Maher Cortés,Claudio Las Heras,Facundo Domínguez,Carlos
author_sort	Braghetto,Italo
title	Carcinoma escamoso sarcomatoide de la unión gastroesofágica: caso clínico
title_short	Carcinoma escamoso sarcomatoide de la unión gastroesofágica: caso clínico
title_full	Carcinoma escamoso sarcomatoide de la unión gastroesofágica: caso clínico
title_fullStr	Carcinoma escamoso sarcomatoide de la unión gastroesofágica: caso clínico
title_full_unstemmed	Carcinoma escamoso sarcomatoide de la unión gastroesofágica: caso clínico
title_sort	carcinoma escamoso sarcomatoide de la unión gastroesofágica: caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2014
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000600014
work_keys_str_mv	AT braghettoitalo carcinomaescamososarcomatoidedelauniongastroesofagicacasoclinico AT montesinosgustavo carcinomaescamososarcomatoidedelauniongastroesofagicacasoclinico AT muslehmaher carcinomaescamososarcomatoidedelauniongastroesofagicacasoclinico AT cortesclaudio carcinomaescamososarcomatoidedelauniongastroesofagicacasoclinico AT lasherasfacundo carcinomaescamososarcomatoidedelauniongastroesofagicacasoclinico AT dominguezcarlos carcinomaescamososarcomatoidedelauniongastroesofagicacasoclinico
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Carcinoma escamoso sarcomatoide de la unión gastroesofágica: caso clínico

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