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Ann Thorac Surg 1984;37:197-203
© 1984 The Society of Thoracic Surgeons

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Articles

Clinical and Pathological Characteristics of Carcinosarcoma of the Esophagus: Report of Four Cases

From the Departments of Surgery and Pathology, Capital Hospital, Chinese Academy of Medical Sciences, Beijing, People's Republic of China

Accepted for publication October 21, 1982.

^* Address reprint requests to Dr. Xu, Vice-head and Associate Professor, Department of Surgery, Capital Hospital, Beijing, People's Republic of China

Carcinosarcoma of the esophagus is a rare malignant neoplasm composed of both carcinomatous and sarcomatous elements. Four out of 850 patients with carcinoma of the esophagus or the cardiac portion of the stomach undergoing operation at Capital Hospital, Beijing, had carcinosarcoma of the esophagus. They ranged from 50 to 58 years old, but only 45% of all 850 patients with carcinoma were in the age group from 51 through 60 years old. All 4 patients with carcinosarcoma of the esophagus were men.

On barium swallow esophagogram, the 4 patients had a characteristic intraluminal polypoid lesion in the middle third of the esophagus. Such lesions of the esophagus also can occur in patients with benign fibrovascular polyps, leiomyoma, and the polypoid form of esophageal carcinoma and esophageal melanoma. The last two can be differentiated from carcinosarcoma only by pathological examination after excision.

After radical excision and esophagogastrostomy, the 4 patients were followed up for 19, 4, 4, and 3 years. They were in good condition without recurrence.

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