1993 Volume 42 Pages 165-168
A 54-year-old man was admitted to our hospital because of fever and dysphagia. Endoscopic examination revealed a brown-black huge mass with rich vascularity from Iu to Ea of the esophagus. According to X-ray and endoscopic findings, we suspected carcinosarcoma.
Because of the metastasis to the mediastinal lymphnodes, the invasion to the left main bronchus and the combination of liver cirrhosis, we resigned operation and radiation therapy was performed. The size of mass decreased, but the invasion to the right thorax was worsend. He was dead of hepatic failure after the rupture of it into the right thorax. We diagnosed it so-called carcinosarcoma by autopsy.
We had 3 cases of carcinosarcoma in 325 cases of esophageal carcinoma during in these 5 years. Another 2 lesions were smaller than this one and their histological diagnosis were pseudosarcoma and so-called carcinosarcoma.
