Esophageal basaloid carcinoma with marked myoepithelial differentiation

Pathol Int. 2002 Apr;52(4):313-7. doi: 10.1046/j.1440-1827.2002.01346.x.

Abstract

A case of esophageal basaloid carcinoma with marked myoepithelial differentiation in a 60-year-old man is reported. The tumor arose as an exophytic mass, measuring 65 x 60 mm, in the middle thoracic esophagus. Approximately two-thirds of the tumor surface was covered with non-cancerous esophageal epithelium. The depth of tumor invasion was limited to the submucosal layer. Histologically, about 70% of the tumor contained a typical basaloid carcinoma component and about 30% contained glandular and intercalated duct-like components with distinct epithelial and myoepithelial differentiation. The tumor presented no component of distinct squamous cell carcinoma, but a small portion of cribriform-like structure, which is typical of adenoid cystic carcinoma, was visible. The inner epithelium composing the intercalated duct-like structure showed immunohistochemical positivity for cytokeratin 14, and the outer epithelium lining adjacent to the stroma showed positivity for alpha-smooth muscle actin. These findings supported epithelial/myoepithelial differentiation. To our knowledge, our case is the first patient with an esophageal basaloid carcinoma showing marked myoepithelial differentiation.

Publication types

  • Case Reports

MeSH terms

  • Actins / analysis
  • Biomarkers, Tumor / analysis
  • Carcinoma, Transitional Cell / chemistry
  • Carcinoma, Transitional Cell / pathology*
  • Carcinoma, Transitional Cell / surgery
  • Cell Transformation, Neoplastic
  • Esophageal Neoplasms / chemistry
  • Esophageal Neoplasms / pathology*
  • Esophageal Neoplasms / surgery
  • Humans
  • Keratin-14
  • Keratins / analysis
  • Male
  • Middle Aged
  • Myoepithelioma / chemistry
  • Myoepithelioma / pathology*
  • Neoplasm Staging
  • Treatment Outcome

Substances

  • Actins
  • Biomarkers, Tumor
  • KRT14 protein, human
  • Keratin-14
  • Keratins