A case of undifferentiated pleomorphic sarcoma in esophagus after multiple cancer treatments of surgery and chemoradiotherapy

Abstract Background Undifferentiated pleomorphic sarcoma (UPS) in the esophagus is extremely rare. Therefore, there are few reports of UPS in the esophagus (UPSE). We present a case of UPSE after multiple cancer treatments. Case presentation A 73-year-old man with a history of cancer treatment, incl...

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Main Authors: Yuho Ebata, Yoshihisa Sakaguchi, Yasuo Tsuda, Sho Nambara, Kensuke Kudou, Eiji Kusumoto, Rintaro Yoshida, Tetsuya Kusumoto, Koji Ikejiri
Format: Article
Language:English
Published: Japan Surgical Society 2022-11-01
Series:Surgical Case Reports
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Online Access:https://doi.org/10.1186/s40792-022-01560-0
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author Yuho Ebata
Yoshihisa Sakaguchi
Yasuo Tsuda
Sho Nambara
Kensuke Kudou
Eiji Kusumoto
Rintaro Yoshida
Tetsuya Kusumoto
Koji Ikejiri
author_facet Yuho Ebata
Yoshihisa Sakaguchi
Yasuo Tsuda
Sho Nambara
Kensuke Kudou
Eiji Kusumoto
Rintaro Yoshida
Tetsuya Kusumoto
Koji Ikejiri
author_sort Yuho Ebata
collection DOAJ
description Abstract Background Undifferentiated pleomorphic sarcoma (UPS) in the esophagus is extremely rare. Therefore, there are few reports of UPS in the esophagus (UPSE). We present a case of UPSE after multiple cancer treatments. Case presentation A 73-year-old man with a history of cancer treatment, including distal gastrectomy, transverse colectomy, and chemoradiotherapy, was diagnosed with an elevated lesion such as a submucosal tumor in the lower esophagus by regular endoscopy. A boring biopsy was performed, and the specimen showed features of sarcoma. The patient underwent a partial esophagectomy without lymph node dissection. Histopathological findings confirmed an undifferentiated pleomorphic sarcoma. Adjuvant therapy was not administered, and the patient survived without recurrence 1 year after surgery. Conclusions Currently, complete resection is the only treatment option for UPSE. An optimal treatment strategy using chemotherapy or radiotherapy should be established.
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institution Kabale University
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publishDate 2022-11-01
publisher Japan Surgical Society
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series Surgical Case Reports
spelling doaj-art-e689ed7c8c3f4595adae6e8ea59b46982025-08-20T03:58:03ZengJapan Surgical SocietySurgical Case Reports2198-77932022-11-01811710.1186/s40792-022-01560-0A case of undifferentiated pleomorphic sarcoma in esophagus after multiple cancer treatments of surgery and chemoradiotherapyYuho Ebata0Yoshihisa Sakaguchi1Yasuo Tsuda2Sho Nambara3Kensuke Kudou4Eiji Kusumoto5Rintaro Yoshida6Tetsuya Kusumoto7Koji Ikejiri8Department of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical CenterDepartment of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical CenterDepartment of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical CenterDepartment of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical CenterDepartment of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical CenterDepartment of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical CenterDepartment of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical CenterDepartment of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical CenterDepartment of Gastroenterological Surgery and Clinical Research Institute, Kyushu Medical CenterAbstract Background Undifferentiated pleomorphic sarcoma (UPS) in the esophagus is extremely rare. Therefore, there are few reports of UPS in the esophagus (UPSE). We present a case of UPSE after multiple cancer treatments. Case presentation A 73-year-old man with a history of cancer treatment, including distal gastrectomy, transverse colectomy, and chemoradiotherapy, was diagnosed with an elevated lesion such as a submucosal tumor in the lower esophagus by regular endoscopy. A boring biopsy was performed, and the specimen showed features of sarcoma. The patient underwent a partial esophagectomy without lymph node dissection. Histopathological findings confirmed an undifferentiated pleomorphic sarcoma. Adjuvant therapy was not administered, and the patient survived without recurrence 1 year after surgery. Conclusions Currently, complete resection is the only treatment option for UPSE. An optimal treatment strategy using chemotherapy or radiotherapy should be established.https://doi.org/10.1186/s40792-022-01560-0Undifferentiated pleomorphic sarcomaCancer treatmentEsophagectomy
spellingShingle Yuho Ebata
Yoshihisa Sakaguchi
Yasuo Tsuda
Sho Nambara
Kensuke Kudou
Eiji Kusumoto
Rintaro Yoshida
Tetsuya Kusumoto
Koji Ikejiri
A case of undifferentiated pleomorphic sarcoma in esophagus after multiple cancer treatments of surgery and chemoradiotherapy
Surgical Case Reports
Undifferentiated pleomorphic sarcoma
Cancer treatment
Esophagectomy
title A case of undifferentiated pleomorphic sarcoma in esophagus after multiple cancer treatments of surgery and chemoradiotherapy
title_full A case of undifferentiated pleomorphic sarcoma in esophagus after multiple cancer treatments of surgery and chemoradiotherapy
title_fullStr A case of undifferentiated pleomorphic sarcoma in esophagus after multiple cancer treatments of surgery and chemoradiotherapy
title_full_unstemmed A case of undifferentiated pleomorphic sarcoma in esophagus after multiple cancer treatments of surgery and chemoradiotherapy
title_short A case of undifferentiated pleomorphic sarcoma in esophagus after multiple cancer treatments of surgery and chemoradiotherapy
title_sort case of undifferentiated pleomorphic sarcoma in esophagus after multiple cancer treatments of surgery and chemoradiotherapy
topic Undifferentiated pleomorphic sarcoma
Cancer treatment
Esophagectomy
url https://doi.org/10.1186/s40792-022-01560-0
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