Coronado José A, Chávez Miguel Á, Manrique Martín A, Cerna Jony, Trejo Ana L
Division of Gastrointestinal Endoscopy, Hospital Juarez de Mexico, Mexico City, CDMX 07760, Mexico.
Division of Anatomic Pahology, Hospital Juarez de Mexico, Mexico City, CDMX 07760, Mexico.
World J Gastrointest Endosc. 2017 Dec 16;9(12):579-582. doi: 10.4253/wjge.v9.i12.579.
Epithelioid sarcoma (ES), a mesenchymatous malign neoformation, is often diagnosed in later stages and associated with high recurrence index, metastasis and mortality. We report a case of a 65 years old male, with history of abdominal pain and upper gastrointestinal bleeding. Endoscopy demonstrated a posterior duodenal wall perforation communicating with a solid retroperitoneal neoformation. Endoscopic biopsy was performed, with a final report of ES. The patient was submitted for surgical palliation due to the tumor's unresectability. Retroperitoneal ES is an extremely rare condition with limited reports in the literature where guidelines for its optimal treatment are not well established.
上皮样肉瘤（ES）是一种间叶性恶性新生物，常在疾病晚期被诊断出来，且具有高复发率、转移率和死亡率。我们报告一例65岁男性病例，该患者有腹痛和上消化道出血病史。内镜检查显示十二指肠后壁穿孔并与腹膜后实性新生物相通。进行了内镜活检，最终报告为ES。由于肿瘤无法切除，该患者接受了手术姑息治疗。腹膜后ES是一种极其罕见的疾病，文献报道有限，其最佳治疗指南尚未明确确立。
