PMC9831643_01
Tumor-like mass identified on the left lateral face of the distal third of the esophagus.
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We intended to perform a conventional gastric sleeve, however, while dissecting the esophageal hiatus, a tumor-like mass was identified, which depended on the left lateral face of the distal third of the esophagus (Fig. 1).
Macroscopic image of the tumor found, irregularly shaped tissue fragment measuring 4.3 x 2.9 x 2.1 cm.
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Once the possible connection between the esophagus and the tumor mass has been discarded, the dissection continued, managing to remove the tumor mass which measured ~4 x 5 cm (Fig. 2) and it was sent to pathology for study (Figs 3 and 4).
Fusiform hypercellular population in long and short bundles as well as hypercellular confluences with extensive myxoid edematous hypocellular areas.
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Once the possible connection between the esophagus and the tumor mass has been discarded, the dissection continued, managing to remove the tumor mass which measured ~4 x 5 cm (Fig. 2) and it was sent to pathology for study (Figs 3 and 4).
Abundant dilated congestive vascular structures; at higher magnification of spindle cells with pale acidophilic cytoplasm, elongated nuclei of vesicular chromatin, with smooth muscular characteristics.
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Once the possible connection between the esophagus and the tumor mass has been discarded, the dissection continued, managing to remove the tumor mass which measured ~4 x 5 cm (Fig. 2) and it was sent to pathology for study (Figs 3 and 4).