Early Basal Cell Carcinoma in the Esophagus, Report of a Case Shinpei Takeda 1 , Wataru Takiyama 1 , Shigemitsu Takashima 1 , Minoru Morita 2 , Koichi Mandai 3 1Department of Surgery, Shikoku Cancer Center 2Department of Internal Medicine, Shikoku Cancer Center 3Department of Histology, Shikoku Cancer Center Keyword: 早期食道癌 , 食道基底細胞癌 , 食道sm癌 pp.655-660
Published Date 1991/6/25
DOI https://doi.org/10.11477/mf.1403102560
  • Abstract
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 The patient, a 69-year-old male, was admitted to our hospital with the complaint of slight dysphagia. Double contrast radiograph showed an ill-defined multi-nodular lesion with a diameter of 2 to 3 cm in the lower portion of the mid-esophagus. Esophagoscopy showed a discolored elevated lesion with a few erosions 35 cm below the incisors. Histologic examination of the biopsy specimens suggested poorly differentiated squamous cell carcinoma. A subtotal esophagectomy with right thoracotomy and reconstruction using stomach was performed. Histopathologic observation of the operated materials showed that numerous small cancer cells round or ovoid in shape had proliferated, forming a glandular structure. This glandular arrangement of tumor cells was actually only pseudo-glandular, as no mucin production was anywhere present and basement membrane had not been formed. The tumor cells had invaded no deeper than the submucosal layers. No metastatic regional lymph nodes were detected. These pathologic findings demonstrated that the tumor in this case was of basal cell origin, that is, basal cell carcinoma, adenomatoid type and in an early stage.

 As far as our review of the literature goes, there had been few reports on same resectable cases of basal cell carcinoma of the esophagus, and its clinical aspects and histogenesis was discussed in this report.

Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.


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