Presentation
Dysphagia.
Patient Data
A 62 × 31 × 18 mm intraluminal irregular polypoid mass with heterogeneous enhancement is noted in the distal half of the esophagus, which causes severe luminal narrowing. There is no sign of local invasion and no regional lymphadenopathy.
The patient went to have an endoscopy and biopsy. The histopathology and IHC evaluation confirmed high-grade esophageal sarcoma. Neo-adjuvant chemotherapy and then esophagectomy and gastric pull-up were performed. The post-surgical histopathology evaluation shows no residual tumor.
Case Discussion
This case demonstrates a pathology-proven esophageal sarcoma that underwent neoadjuvant chemotherapy and then esophagectomy and gastric pull-up with a complete response to treatment.
Esophageal sarcoma is a rare type of malignancy that develops in the esophagus. It can be challenging to diagnose and treat due to its rarity and the similarity of symptoms with other esophageal conditions. No specific imaging finding is reported in the literature, and the diagnosis is confirmed by histopathology and IHC.
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