PMC2263060_01
Initial CT scan revealed a large mass in the distal third of the esophagus.
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F1
Contrast-enhanced chest and abdominal computed tomography (CT) demonstrated a large tumor of the distal third of the esophagus without any lymphadenopathy or distant metastasis (Figure 1).
Post-chemotherapy CT scan showed a significant reduction of the tumor size.
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F2
The patient received preoperative chemotherapy with cisplatine and etoposide for 3 months with a significant reduction of the tumor size (Figure 2).
Infiltration of the esophageal wall from small cell carcinoma (H-E x40).
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F3
Histopathology revealed a tumor (2.5 x 1.5 cm), 2 cm above the gastroesophageal junction, that was a small cell esophageal carcinoma infiltrating the submucosal and, focally, the muscular layer (Figure 3).