Challenging Diagnostic and Therapeutic Limits: Complete Circumferential Endoscopic Dissection of a Rare and Extensive Esophageal Carcinoma.

ABSTRACT:

Introduction

Basal layer type squamous cell carcinoma (BLSCC) is a rare subtype of esophageal carcinoma imposing challenges in the diagnosis and endoscopic treatment with prognostic implications. We report a case of BLSCC successfully treated by complete circumferential endoscopic submucosal dissection.

Case presentation

A 73-year-old man with a history of a stable non-Hodgkin's lymphocytic lymphoma presented with dysphagia. After a demanding diagnostic workup, an almost circumferential and extensive tenuous flat lesion of the distal esophagus was found. In a multidisciplinary team discussion, a circumferential endoscopic dissection approach was decided, which proved to be curative. The final histopathological diagnosis was BLSCC, a challenging diagnosis of a rare form of sq

SUBMITTER: Gravito-Soares E 

PROVIDER: S-EPMC12503709 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature