Hypopharyngeal Cancer which Showed Rapid Growth in Six Months, Report of a Case Masaki Tanaka 1 1Deparment of Gastroenterlogy, Saku Central Hospital Keyword: 下咽頭癌 , まだら状不染 , 重複癌 , サーベイランス pp.1285-1288
Published Date 2005/8/25
DOI https://doi.org/10.11477/mf.1403100153
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A seventy-year old man underwent EMR for squamous cell carcinoma of the mid-esophagus. Because of numerous lugol unstained areas throughout his esophagus, he was considered to have an increased risk of metachronous cancer in the esophagus as well as in the head and neck. For these reasons, we maintained him on a semi-annual surveillance program.

 A small elevated lesion covered with normal epithelium was seen at the right pyriform sinus. It was thought to be a SMT, and was followed up six months later. A reddish elevated lesion with white coat was seen extended from the right aryepiglottic fold to the right pyriform sinus. This was biopsied and diagnosed as a moderately differentiated squamous cell carcinoma.

 The patient selected radiation therapy and complete response was achieved.

 Despite its rapid growth, the cancer of the hypopharynx was detected while still in a curable state. Semi-annual surveillance should be maintained in such a high risk case.

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