A Mucosal Cancer of the Esophagus with Superficial and Slightly Depressed Lesion (0-IIa+IIc) which Developed into Superficial Protruding Lesion (0-Ip+IIa+IIc), Report of a Case Taro Hirose 1 , Misao Yoshida 1 , Hisahito Katoh 2 , Kumiko Momma 2 , Morio Koike 3 1Department of Surgery, Tokyo Metropolitan Komagome General Hospital 2Department of Internal Medicine, Tokyo Metropolitan Komagome General Hospital 3Department of Pathology, Tokyo Metropolitan Komagome General Hospital Keyword: 食道表在癌 , 隆起型食道癌 , 癌の発育進展 pp.583-590
Published Date 2000/3/25
DOI https://doi.org/10.11477/mf.1403104677
  • Abstract
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 A-54-year old man was admitted to our hospital because of abnormalities of the esophagus. He had been doing well until esophageal abnormalities were found during an annual check up of the upper gastrointestinal endoscopy. A superficial and slightly depressed lesion (type 0-IIc) at the middle and lower third of the esophagus with a small slightly elevated lesion (type 0-IIa). The type 0-IIa lesion developed into superficial and protruding lesion (type 0-Ip) . Histological study on bite biopsies revealed squamous cell carcinoma. Clinical estimation strongly suggested slight invasion into the submucosa and probability of lymph node metastasis. A radical esophagectomy was carried out. Pathological studies on the resected specimen revealed that carcinoma of the lower esophagus was a type 0-Ip + IIa + IIc lesion measuring 70 X 62 mm in size. It was a poorly differentiated squamous cell carcinoma, Tla (m3), ly0, v1, n0.

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