ENDOSCOPIC SUBMUCOSAL DISSECTION OF A SUSPICIOUS ESOPHAGEAL LESION

A 80-year-old woman, hospitalized for atrial fibrillation and cardiac decompensation, presented anemia and melena during her stay. An esogastroduodenoscopy revealed a 2 × 2 cm Paris type 0-IIa+IIc neoplastic lesion at 30 to 32 cm from the incisors. The IPCL pattern analysis with NBI and near focus revealed V-3 type suggesting the presence of submucosal infiltration. The biopsy revealed a poorly differentiated squamous cell carcinoma. Endoscopic ultrasound disclosed a 15 mm mucosal lesion with extension in the submucosa (uT1N0Mx). There was no distant metastasis on work-up (thoracic and abdominal CT scan, bronchoscopy and PET CT).