Miyata Ryo, Niihara Tooru, Shimaoka Shunji, Nioh Tatsuyuki, Matsuda Akio, Tashiro Kotaro, Torimaru Hiromitsu, Tsukasa Koichiro, Nishimata Nobuaki, Kawabata Takuya, Imamura Takako, Nagata Yuuko, Hori Masahide, Nishimata Yoshito, Tanaka Sadao, Nishimata Hiroto
Department of Gastroenterology, Nanpuh Hospital, Japan.
Nihon Shokakibyo Gakkai Zasshi. 2012 Feb;109(2):211-6.
We report a case of a 64-year-old Japanese man with adenoid cystic carcinoma. An elevated lesion covered by intact epithelium in the thoracic esophagus was found in September, 2007 and been followed. After dysphagia appeared follow-up endoscopy was performed in January, 2010, and morphological change into a protruding tumor was recognized. Since adenoid cystic carcinoma was detected by endoscopic biopsy, the patient underwent esophageal resection. The resected specimen showed a cribriform pattern and a certain amount of mucous substance which was positive for Alcian blue, within a solid nest. The tumor cells were positive for S-100 protein and negative for αSMA, so the tumor was diagnosed as an adenoid cystic carcinoma.