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Ann Thorac Surg 1975;19:198-205
© 1975 The Society of Thoracic Surgeons

Articles

Pseudosarcoma of the Esophagus

R.W. Postlethwait, M.D.*, Andrew S. Wechsler, M.D., John D. Shelburne, M.D.

From the Departments of Surgery, Veterans Administration Hospital and Duke University Medical Center, Durham, N.C.

Accepted for publication August 7, 1974.

* Address reprint requests to Dr. Postlethwait, Veterans Administration Hospital, Fulton St. and Erwin Rd., Durham, N.C. 27705.

Polypoid lesions of the esophagus occur infrequently and may be benign or malignant. One malignant polypoid tumor, pseudosarcoma, appears to be a distinct pathological entity; the polypoid portion is composed of sarcomatous spindle cells and the base of the polyp shows in situ or invasive squamous cell carcinoma. A patient with this lesion is described and the 16 previously reported patients are reviewed. The results indicate that local resection is inadequate; radical esophagectomy is required for cure.






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