Τίτλος:
A unique tripartite collision tumor of the esophagus: A case report
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Rationale: We report a unique case of a tripartite esophageal collision tumor consisting of three separate histologic types. Patients concerns: Therapeutic dilemmas on the proper treatment of those rare neoplasms remain unanswered considering both proper surgical therapy and adjuvant therapy. Diagnose: In this paper, we report a unique case of a patient with a tripartite esophageal collision tumor consisting of a small cell carcinoma, an adenocarcinoma of medium differentiation and a signet ring cell carcinoma. Diagnosis is difficult as clinical presentation of the patient was undistinguishable from other, commoner tumor types. Interventions: The patient's diagnostic and therapeutic course along with available data on the collisions tumor's biological behavior and treatment are briefly discussed. Outcomes: Esophagectomy is the best treatment options for these patients. Unique nature of this tumor demands aggresive oncologic treatment. Lessons: Collision tumors are rare neoplasms consisting of distinct cell populations developing in juxtaposition to one another without any areas of intermingling. Various cell types can be found. However, collision neoplasms of the esophagus combining adenomatous and neuroendocrine components are exceedingly rare, with only 5 cases described to date in the literature. Given their rarity, limited information is available on their tumorigenesis, biological behavior and clinical course. In general, these tumors are aggressive neoplasms and significantly affect patient treatment and prognosis. © 2017 the Author(s). Published by Wolters Kluwer Health, Inc.
Συγγραφείς:
Schizas, D.
Michalinos, A.
Alexandrou, P.
Moris, D.
Baliou, E.
Tsilimigras, D.
Throupis, T.
Liakakos, T.
Περιοδικό:
Medicine (United States)
Εκδότης:
Lippincott Williams and Wilkins
Λέξεις-κλειδιά:
cisplatin; etoposide, adjuvant chemotherapy; adjuvant therapy; aged; Article; Barrett esophagus; cachexia; cancer diagnosis; cancer surgery; cardia; case report; clinical article; computer assisted tomography; dysphagia; esophageal adenocarcinoma; esophagus; esophagus biopsy; esophagus carcinoma; esophagus resection; follow up; gastroesophageal junction; gastroesophageal reflux; gastrointestinal endoscopy; human; laboratory test; liver metastasis; lymph node dissection; male; medical history; mixed adenoneuroendocrine carcinoma; physical examination; postoperative period; priority journal; signet ring carcinoma; small cell carcinoma; stomach; transthoracic total esophagectomy; tripartite collision esophagus tumor; tumor differentiation; weight reduction; adenocarcinoma; esophagus tumor; multiple cancer; signet ring carcinoma; small cell carcinoma, Adenocarcinoma; Aged; Carcinoma, Signet Ring Cell; Carcinoma, Small Cell; Esophageal Neoplasms; Esophagectomy; Humans; Male; Neoplasms, Multiple Primary
DOI:
10.1097/MD.0000000000008784
