ESOPHAGEAL TUMOR WITH AN UNUSUAL HISTOLOGICAL APPEARANCE - A CASE-REPORT

An unusual esophageal tumor in a 58-year-old man. complaining of dysph agia and weight loss is herein described. Esophageal radioscopy and en doscopy visualized a huge polypoid tumor which was occluding the esoph agus. After esophageal resection,, the histological examination reveal ed miscellaneous benign cells (squamous, columnar fat cells, cartilagi nous cells, and glandular structures) and two different malignant area s (spindler sarcomatous cells and squamous cells). There was no malign ant invasion in the stalk, in. the adjacent esophageal wall, or in the periesophageal tissue, and there were no malignant adenopathies. The postoperative course was favorable for one year, until the patient dev eloped pain in the right superior back. A sarcomatous relapse was diag nosed by fine-needle biopsy under CT guidance, and the patient subsequ ently received radiation therapy.