A case of endoscopic submucosal dissection of esophageal acantholytic Paget's disease with discontinuously spreading and unclear neoplastic extension.

IF 0.7 Q4 SURGERY

Surgical Case Reports Pub Date : 2024-06-21 DOI:10.1186/s40792-024-01956-0

Hidetoshi Satomi, Shingo Ishiguro, Sei Murayama, Takashi Kanesaka, Tomoki Michida, Ryu Ishihara, Keiichiro Honma

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Abstract

Background: Paget's disease (PD) is a carcinoma, in which irregular atypical cells with abundant cytoplasm proliferate mainly within the epithelium and is classified into PD occurring in the breast and extramammary Paget's disease (EMPD) occurring outside the breast. Essentially, extramammary PD is reported as a tumor for which it is difficult for surgeons to properly determine the line of resection.

Case presentation: An 83-year-old male was admitted to our hospital because of roughness of the esophageal epithelium during the follow-up examination for a gastric ulcer. A preoperative biopsy revealed squamous cell carcinoma; therefore, endoscopic submucosal dissection (ESD) was performed.

Conclusions: The characteristic feature in this patient was the distribution of tumor cells and, accordingly, the difficulty in identifying the neoplastic distribution. In this patient, the odd distribution and growth pattern of the tumor cells made it difficult for the operator to identify the distribution of the lesion preoperatively.

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一例食管棘层溶解性帕吉特病内镜下黏膜下剥离术，其肿瘤扩展不连续、不清晰。

背景：Paget's 病（PD）是一种主要在上皮内增生的不规则非典型细胞，细胞质丰富，可分为发生在乳房内的 PD 和发生在乳房外的乳房外 Paget's 病（EMPD）。从本质上讲，乳腺外 PD 是一种外科医生很难正确确定切除范围的肿瘤：病例介绍：一位 83 岁的男性因胃溃疡复查时发现食管上皮粗糙而入院。术前活检显示为鳞状细胞癌，因此进行了内镜下黏膜下剥离术（ESD）：该患者的特征是肿瘤细胞的分布，因此很难确定肿瘤的分布。在该患者中，肿瘤细胞的奇特分布和生长模式使操作者很难在术前确定病灶的分布。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Case Reports SURGERY-

自引率

0.00%

发文量

218

审稿时长

13 weeks

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