A patient with esophageal hemangioma treated by endoscopic mucosal resection: a case report and review of the literature

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In a 58-year-old male, upper digestive endoscopy revealed a protruding lesion in the esophagus on a medical examination. The patient was referred to the Department of Surgery in our hospital to undergo surgery. On the initial consultation, upper digestive endoscopy showed a smooth, soft, black purple, typeII protruding lesion measuring approximately 25 mm at 35 cm apart from the incisor. For diagnotic treatment and patient’s request, endoscopic mucosal resection (EMR) was performed. The resected specimen measured 25 mm × 25 mm. The histological findings suggested cavernous hemangioma. To treat esophageal hemangioma, esohagectomy, tumor enucleation, or sclerotherapy has been performed. However, recently, thorough preoperative examination, such as endoscopic ultrasonography (EUS), has facilitated endoscopic resection, such as EMR. J. Med. Invest. 53: 177-182, February, 2006