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Rare disease
CASE REPORT
Synchronous oesophageal and gastric sarcomatoid carcinoma: first reported case in Australia
  1. Puraskar Pateria1,
  2. Niroshan Muwanwella1,
  3. Ming Chai2,
  4. Kannan Venugopal1
  1. 1Department of Gastroenterology and Hepatology, Royal Perth Hospital, Perth, Western Australia, Australia
  2. 2Anatomical Pathology, PathWest Laboratory Medicine Western Australia, Nedlands, Western Australia, Australia
  1. Correspondence to Dr Puraskar Pateria, puraskar.pateria{at}health.wa.gov.au

Summary

A 75-year-old retired teacher presents with dysphagia and weight loss for a duration of 6 months. Her gastroscopy showed two synchronous submucosal masses. A 7 cm polypoid mass was seen at the distal oesophagus, arising from a thick stalk and a 4 cm mass seen at the cardia. The biopsies showed high-grade sarcomatoid cancer. Staging CT scan and Positron Emission Tomography scan did not show any distant metastasis except a lesion in the rectum that was subsequently found to be tubulovillous adenoma on transanal excision. The patient was managed with Ivor Lewis oesophagectomy. The biopsies of resection specimen showed spindle cell/sarcomatoid carcinoma with a component of poorly differentiated neuroendocrine carcinoma in oesophageal tumour and a small component of conventional invasive squamous cell carcinoma in tumour at cardia. The patient recovered well after surgery. Since then, she has completed adjuvant chemoradiotherapy. No recurrence has been noted in 10 months follow-up.

  • oesophagus
  • stomach and duodenum

https://doi.org/10.1136/bcr-2018-225092

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    Footnotes

    • Contributors All authors have contributed to and have agreed on the content of the manuscript. PP and KV contributed in writing the background and case presentation section of manuscript. NM contributed in writing the treatment section of manuscript. MC contributed in writing the summary and outcome and follow-up section. All authors contributed in writing the discussion section.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.