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A rare case of esophageal mucoepidermoid carcinoma successfully treated via endoscopic submucosal dissection
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So Eun Jeun, Kyung Bin Kim, Bong Eun Lee, Gwang Ha Kim, Moon Won Lee, Dong Chan Joo
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Clin Endosc 2024;57(5):683-687. Published online June 18, 2024
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DOI: https://doi.org/10.5946/ce.2024.051
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- Esophageal mucoepidermoid carcinoma (EMEC) is a special subtype of esophageal malignancy, accounting for less than 1% of all cases of primary esophageal carcinoma. Pathologically, it consists of a mixture of adenocarcinoma and squamous cell carcinoma with mucin-secreting cells. Special staining for mucicarmine helps to diagnose EMEC. We present a rare case of EMEC successfully treated via endoscopic submucosal dissection (ESD). A 63-year-old man was referred to our tertiary hospital. On esophagogastroduodenoscopy, a 6-mm-sized subtle reddish depressed lesion was identified in the mid-esophagus. Diagnostic ESD was performed with a high suspicion of carcinoma. Histopathologic findings were consistent with EMEC which was confined to the lamina propria without lymphatic invasion. We plan to do a careful follow-up without administering adjuvant chemotherapy or radiotherapy. Due to the small volume of the lesion, establishing a diagnosis was difficult through forceps biopsy alone. However, by using ESD, we could confirm and successfully treat a rare case of early-stage EMEC.
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Metastasis of breast cancer presenting as enlarged folds in the stomach
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So Eun Jeun, Gwang Ha Kim, Moon Won Lee, Sojeong Lee
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Clin Endosc 2022;55(3):463-464. Published online November 6, 2020
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DOI: https://doi.org/10.5946/ce.2020.239
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Endoscopic Submucosal Dissection of an Inverted Pyloric Gland Adenoma Using Dental Floss and Clip Traction
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Gwang Ha Kim, Moon Won Lee, Bong Eun Lee, Do Youn Park
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Clin Endosc 2021;54(6):935-936. Published online August 31, 2020
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DOI: https://doi.org/10.5946/ce.2020.164
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Citations
Citations to this article as recorded by  - Synchronous gastric MALT lymphoma and gastric adenocarcinoma of fundic gland type arising from a hamartomatous inverted polyp in a Helicobacter pylori naive patient
Ryo Miyamoto, Hidehiko Takigawa, Takahiro Kotachi, Hiroki Kadota, Ryo Yuge, Ryohei Hayashi, Yuji Urabe, Akira Ishikawa, Kazuhiro Sentani, Shiro Oka
Clinical Journal of Gastroenterology.2023; 16(4): 521. CrossRef - The Many Faces of Gastric Inverted Polyps: a case report
S.I. Kim, M.Y. Agapov, T.F. Savostyanov, A.A. Paratovskaya, I.A. Sokolova
Dokazatel'naya gastroenterologiya.2023; 12(2): 88. CrossRef - Pyloric Gastric Adenoma: Endoscopic Detection, Removal, and Echoendosonographic Characterization
Anabel Liyen Cartelle, Erik A. Holzwanger, Samuel Igbinedion, Sultan Mahmood, Harry J. Rosenberg, Tyler M. Berzin, Mandeep S. Sawhney, Moamen Gabr, Douglas K. Pleskow
ACG Case Reports Journal.2023; 10(12): e01229. CrossRef
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Diagnosing Gastric Mesenchymal Tumors by Digital Endoscopic Ultrasonography Image Analysis
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Moon Won Lee, Gwang Ha Kim
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Clin Endosc 2021;54(3):324-328. Published online June 18, 2020
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DOI: https://doi.org/10.5946/ce.2020.061
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Abstract
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- Gastric mesenchymal tumors (GMTs) are incidentally discovered in national gastric screening programs in Korea. Endoscopic ultrasonography (EUS) is the most useful diagnostic modality for evaluating GMTs. The differentiation of gastrointestinal stromal tumors from benign mesenchymal tumors, such as schwannomas or leiomyomas, is important to ensure appropriate clinical management. However, this is difficult and operator dependent because of the subjective interpretation of EUS images. Digital image analysis computes the distribution and spatial variation of pixels using texture analysis to extract useful data, enabling the objective analysis of EUS images and decreasing interobserver and intraobserver agreement in EUS image interpretation. This review aimed to summarize the usefulness and future of digital EUS image analysis for GMTs based on published reports and our experience.
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Citations
Citations to this article as recorded by - Schwannoma gástrico. Reporte de un caso
Darío Montes N, Nixon Cevallos R, Rubén Montes N
Oncología (Ecuador).2024; 34(1): 52. CrossRef - Artificial Intelligence-Based Diagnosis of Gastric Mesenchymal Tumors Using Digital Endosonography Image Analysis
Dong Chan Joo, Gwang Ha Kim, Moon Won Lee, Bong Eun Lee, Ji Woo Kim, Kwang Baek Kim
Journal of Clinical Medicine.2024; 13(13): 3725. CrossRef - A combined radiomic model distinguishing GISTs from leiomyomas and schwannomas in the stomach based on endoscopic ultrasonography images
Xian‐Da Zhang, Ling Zhang, Ting‐Ting Gong, Zhuo‐Ran Wang, Kang‐Li Guo, Jun Li, Yuan Chen, Jian‐Tao Zhang, Ben‐Gong Ye, Jin Ding, Jian‐Wei Zhu, Feng Liu, Duan‐Min Hu, JianGang Chen, Chun‐Hua Zhou, Duo‐Wu Zou
Journal of Applied Clinical Medical Physics.2023;[Epub] CrossRef - An Esophageal Leiomyoma with Cystic Degeneration Mimicking a Malignant Neoplasm
Gwang Ha Kim, Dong Chan Joo, Moon Won Lee, Bong Eun Lee, Kyungbin Kim
The Ewha Medical Journal.2023;[Epub] CrossRef - Advancements in the Diagnosis of Gastric Subepithelial Tumors
Osamu Goto, Mitsuru Kaise, Katsuhiko Iwakiri
Gut and Liver.2022; 16(3): 321. CrossRef - Schwannoma gástrico. Diagnóstico diferencial de tumores submucosos
M. Reyes Busta Nistal, Noelia Alcaide Suarez, Luis Fernández Salazar, Daniel Corrales Cruz
Gastroenterología y Hepatología.2021;[Epub] CrossRef - Scoring systems for differentiating gastrointestinal stromal tumors and schwannomas from leiomyomas in the stomach
Shotaro Okanoue, Masaya Iwamuro, Takehiro Tanaka, Takuya Satomi, Kenta Hamada, Hiroyuki Sakae, Makoto Abe, Yoshiyasu Kono, Hiromitsu Kanzaki, Seiji Kawano, Yoshiro Kawahara, Hiroyuki Okada
Medicine.2021; 100(40): e27520. CrossRef
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Magnifying Endoscopy for Esophageal Ectopic Sebaceous Glands
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Mu Song Jeon, Gwang Ha Kim, Dong Young Jeong, Byeong Kyu Park, Moon Won Lee, So-Jeong Lee, Do Youn Park
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Clin Endosc 2018;51(5):495-497. Published online February 26, 2018
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DOI: https://doi.org/10.5946/ce.2017.187
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Abstract
PDFPubReaderePub
- Ectopic sebaceous glands are found very rarely in the esophagus; heretofore, several cases have been reported. The sebaceous gland is originally a source of an endodermal origin; however, there have been controversies regarding whether the origin of the esophageal ectopic sebaceous gland is ectodermal or endodermal. Ectopic sebaceous glands of the esophagus usually do not cause symptoms; thus, they are often found incidentally on endoscopy for routine health screening. Endoscopic findings are characterized by single or multiple yellow patches or nodular lesions of various sizes, sometimes with small central openings. We report two cases of esophageal ectopic sebaceous glands found incidentally during endoscopy with magnifying endoscopic findings. The lesions were in the mid-esophagus and lower esophagus, respectively, and both endoscopic findings were similar as multiple yellowish patches or plaques. Magnifying endoscopy revealed the openings of the excretory ducts surrounded by circular microvessels in both cases.
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Citations
Citations to this article as recorded by - Multiple heterotopic sebaceous glands in the oesophagus: A case report and literature review
Yuan Fang, Zhi Wang, Yong Qiang Yang, Bei Wen Song, Wen Bin Gou
Tropical Doctor.2024; 54(1): 49. CrossRef - Spectrum of Choristoma
Pranita Mohanty, Anima Hota, Rajashree Tripathy, Santosh K. Swain, Ajit S. Mohapatra, Pallak Batalia
Journal of Datta Meghe Institute of Medical Sciences University.2022; 17(2): 392. CrossRef - Clinicopathologic Characteristics of Esophageal Ectopic Sebaceous Glands: Chronological Changes and Immunohistochemical Analysis
Hirotsugu Hashimoto, Hajime Horiuchi, Sakiko Miura, Shunya Takayanagi, Toshiaki Gunji, Teppei Morikawa
International Journal of Surgical Pathology.2021; 29(4): 378. CrossRef - The clinical and endoscopic features of esophageal ectopic sebaceous glands
Hui‐Fen Chen, Hsi‐Chang Lee, Min‐Kai Liao, Ting‐An Chang, Chih‐Lin Lin, Li‐Ying Liao, Kuan‐Yang Chen
Advances in Digestive Medicine.2020; 7(4): 179. CrossRef - Case Report of a Proposed, Novel, Endoscopic “Whitehead Pimple” Sign of Ectopic Esophageal Sebaceous Glands Based on Their Mimicking the Dermatologic and Histopathologic Characteristics of Cutaneous Whitehead Pimples/Closed Comedones
Amy Le, Mitual Amin, Mitchell S. Cappell
Digestive Diseases and Sciences.2019; 64(7): 2049. CrossRef - Ectopic Sebaceous Gland in Esophagus Presenting as Subepithelial Tumor
Dong Han Yeom, Han Seung Ryu
Chonnam Medical Journal.2019; 55(3): 168. CrossRef
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Bile Duct Patency Maintained after Intraductal Radiofrequency Ablation in a Case of Hepatocellular Cholangiocarcinoma with Bile Duct Invasion
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Sung Yong Han, Geun Am Song, Dong Uk Kim, Dong Hoon Baek, Moon Won Lee, Gwang Ha Kim
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Clin Endosc 2018;51(2):201-205. Published online August 31, 2017
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DOI: https://doi.org/10.5946/ce.2017.097
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Abstract
PDFPubReaderePub
- Combined hepatocellular-cholangiocarcinoma (HCC-CC) with bile duct invasion (BDI) is rare. In unresectable cases, biliary stent placement and photodynamic therapy (PDT) are used for resolving obstructive jaundice. However, stent occlusion remains problematic, and PDT is expensive and time-consuming. Intraductal radiofrequency ablation (RFA) is an emerging procedure for palliation in these patients. It has potential benefits including less expense, lower rates of severe complication, longer maintenance of ductal patency, and easier technique compared with PDT or stenting alone. We report a 67-year-old man who underwent repeated intraductal RFA for HCC-CC and HCC with BDI (HCC-BDI), for whom bile duct patency was maintained without additional biliary procedures.
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Citations
Citations to this article as recorded by - Clinical and cost effectiveness of endoscopic bipolar radiofrequency ablation for the treatment of malignant biliary obstruction: a systematic review
Fiona Beyer, Stephen Rice, Giovany Orozco-Leal, Madeleine Still, Hannah O’Keefe, Nicole O’Connor, Akvile Stoniute, Dawn Craig, Stephen Pereira, Louise Carr, John Leeds
Health Technology Assessment.2023; : 1. CrossRef - Improving biliary stent patency for malignant obstructive jaundice using endobiliary radiofrequency ablation: experience in 150 patients
Ya-Lin Kong, Hong-Yi Zhang, Cheng-Li Liu, Xiao-Jun He, Gang Zhao, Cheng Wang, Ling-Hong Kong, Jing Zhao
Surgical Endoscopy.2022; 36(3): 1789. CrossRef
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