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Fig. 6 | Surgical Case Reports

Fig. 6

From: Thoracoscopic esophagectomy for esophageal carcinoma after peroral endoscopic myotomy for esophageal achalasia: a case report

Fig. 6

Excised specimen (left section). The esophagus is dilated, and the mucosal surface is rough. Arrowheads indicate the lesion and arrows indicate the endoscopic submucosal dissection scars. Histopathological findings (ad): a atrophy of inner circular muscle (desmin staining; magnification, ×25), b missing inner circular and outer longitudinal muscle (desmin staining; magnification, ×20) *Im: inner circular muscle, Om: outer longitudinal muscle. Note the loss and atrophy of muscularis propria extending from the esophagogastric junction to the oral side, c missing inner circular muscle in the stomach area (desmin staining; magnification, ×10), d missing ganglion cells in Auerbach’s plexus (CD56 staining; magnification, ×25, ×100) *Im: inner circular muscle, Om: outer longitudinal muscle

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