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A Superficial Esophageal Cancer with a Depth of m3 Followed by Lymph Node Metastasis Four Years after EMR Procedure Yoshiya Yamada 1 , Kumiko Momma 2 , Misao Yoshida 3 1Department of Gastroenterology, Tokyo Metropolitan Komagome General Hospital 2Department of Endoscopy, Tokyo Metropolitan Komagome General Hospital 3Department of Surgery, Tokyo Metropolitan Komagome General Hospital Keyword: 内視鏡的粘膜切除 , EMR , EMRの適応拡大 , m3・sm1癌 , リンパ節再発 pp.87-92
Published Date 2002/1/25
DOI https://doi.org/10.11477/mf.1403103411
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 An annual examination of a 79-year-old male patient revealed an esophageal lesion. He went to a university hospital where he was recommended for surgery. He wanted to take EMR (endoscopic mucosal resection) however, so he visited our hospital. In pre EMR diagnosis, the depth of the cancer was m3. He had a history of lung tuberculosis and he strongly wanted EMR procedure instead of the operation. Pathological diagnosis of the EMR specimen was 0-Ⅱc, m3 and 1y (+), v (+). He also agreed to additional treatment using chemotherapy. Every 6 to 12 months, he was examined by ultrasonography, CT and endoscopy. However, he did not visit the hospital for follow-up examinations in the third year after EMR. The fourth year after EMR, he came to the hospital with hoarsness and lymph node metastasis. He received chemotherapy and irradiation for the lymph node metastasis, but the size of the lymph nodes didn't change. He died four years and eleven months after EMR, which was eleven months after recurrence. EMR cases in which the depth of cancers are m3 or sm1 should be examined every 6 months and also need over five years of follow up study.


Copyright © 2002, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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