Sogabe Masahiro, Taniki Toshikatsu, Fukui Yasuo, Yoshida Takahiro, Okamoto Koichi, Okita Yoshio, Hayashi Hiroshige, Kimuara Eriko, Kimura Yoshitaka, Onose Yukiko, Ozaki Yuji, Iwaki Hiroshi, Sato Kei, Hibino Shingo, Sawada Seizo, Muguruma Naoki, Okamura Seisuke, Ito Susumu
Department of Digestive and Cardiovascular Medicine, The University of Tokushima Graduate School, Japan.
J Med Invest. 2006 Feb;53(1-2):177-82. doi: 10.2152/jmi.53.177.
In a 58-year-old male, upper digestive endoscopy revealed a protruding lesion in the esophagus on a medical examination. The patient was referred to the Department of Surgery in our hospital to undergo surgery. On the initial consultation, upper digestive endoscopy showed a smooth, soft, black purple, type II protruding lesion measuring approximately 25 mm at 35 cm apart from the incisor. For diagnostic treatment and patient's request, endoscopic mucosal resection (EMR) was performed. The resected specimen measured 25 mm x 25 mm. The histological findings suggested cavernous hemangioma. To treat esophageal hemangioma, esohagectomy, tumor enucleation, or sclerotherapy has been performed. However, recently, thorough preoperative examination, such as endoscopic ultrasonography (EUS), has facilitated endoscopic resection, such as EMR.