case_images: PMC9831643_01
case_images: Tumor-like mass identified on the left lateral face of the distal third of the esophagus.
case_images: rjac626f1.jpg
case_images: PMC9831643_01_rjac626f1.jpg
case_images: f1
case_images: 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).
case_images: Macroscopic image of the tumor found, irregularly shaped tissue fragment measuring 4.3 x 2.9 x 2.1 cm.
case_images: rjac626f2.jpg
case_images: PMC9831643_01_rjac626f2.jpg
case_images: f2
case_images: 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).
case_images: Fusiform hypercellular population in long and short bundles as well as hypercellular confluences with extensive myxoid edematous hypocellular areas.
case_images: rjac626f3.jpg
case_images: PMC9831643_01_rjac626f3.jpg
case_images: f3
case_images: 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).
case_images: Abundant dilated congestive vascular structures; at higher magnification of spindle cells with pale acidophilic cytoplasm, elongated nuclei of vesicular chromatin, with smooth muscular characteristics.
case_images: rjac626f4.jpg
case_images: PMC9831643_01_rjac626f4.jpg
case_images: f4
case_images: 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).