1989 Volume 31 Issue 6 Pages 1545-1549_1
A case of so-called carcinosarcoma of the esophagus with extensive superficial spread was reported. A 36-year-old female was admitted to our hospital because of dysphagia. X-ray examination of the esophagus showed a tumor in the middle esophagus (Figure 1). Endoscopy of the esophagus revealed a tumor and extensive irregular mucosa which were not stained with Lugol's solution (Figure 2, 3). Total thoracic esophagectomy was perfored. Macroscopically, a tumor 4.0 x 1.7 cm in size with extensive superficial spread was noted (Figure 4, 6). Histologically, the tumor was mainly composed of sarcomatous element and superficially spreaded lesion was composed of squamous cell carcinoma (Figure 5). The diagnosis of the so-called carcinosarcoma of the esophagus with extensive superficial spread was made.
