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J Thorac Cardiovasc Surg 2002;124:196-197
© 2002 The American Association for Thoracic Surgery

Brief Communications

Primary myxofibrosarcoma of the esophagus

From the Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Ga.

Received for publication Dec 26, 2001. Accepted for publication Jan 11, 2002. Address for reprints: Joseph I. Miller, MD, Division of Cardiothoracic Surgery, Emory University School of Medicine, 1365 Clifton Rd, NE, Atlanta, GA 30322 (E-mail: jmill10@emory.edu).

The first 20% of the full text of this article appears below.

Primary sarcomatous lesions of the esophagus are unusual. Of these lesions, leiomyosarcoma is the most common primary sarcoma of the esophagus, whereas rhabdomyosarcoma is rare. ¹ Other reported histopathologic diagnoses include fibrosarcoma, chondrosarcoma, and liposarcoma. ^2,3 Here we describe the first reported case of a primary myxofibrosarcoma of the esophagus presenting in a woman with a long-standing history of scleroderma.

Clinical summary

The patient is a 40-year-old white woman with a medical history of scleroderma who reported a several year history of dysphagia. She described this as intermittent sticking, primarily of solid foods, after swallowing. Results of physical examination of the patient were unremarkable. The patient's lung fields were clear to auscultation, and there was no cervical or supraclavicular adenopathy. A barium swallow was performed and demonstrated a smooth 5 x 3-cm mass with intact mucosa and well-defined margins involving the posterolateral wall of the distal esophagus (Figure 1). The mass was located 8 . . . [Full Text of this Article]

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