Submucosal Tumor Type of Superficial Esophageal Cancer, Report of Two Cases Tsutomu Nakamura 1 , Hiroko Ide 1 , Akiyoshi Yamada 2 , Akio Yanagisawa 3 1Department of Surgery, Tokyo Women's Medical College 2Department of Radiology, Institute of Gastroenterology, Tokyo Women's Medical College 3Department of Pathology, Cancer Reseach Institute Keyword: 粘膜下腫瘍様の食道表在癌 , 内視鏡的粘膜切除 , 食道未分化癌 , 食道小細胞癌 , 食道sm癌 pp.737-743
Published Date 1997/4/25
DOI https://doi.org/10.11477/mf.1403105127
  • Abstract
  • Look Inside

 Because submucosal type of superficial esophageal cancer consists of various histologic types, treatment strategy might change with individual patients. The first patient was a 59-year-old man with a small protruding tumor (0-Ⅰ) and superficial cancer (0-Ⅱc). Diagnosis on biopsy specimens of 0-Ⅰ tumor was oat-cell-type undifferentiated carcinoma. The patient underwent esophagectomy for the remaining unchanged 0-Ⅱc cancer after endoscopic mucosal resection (EMR) and chemotherapy for 0-Ⅰ tumor. These treatments resulted in long survival of this patient. The second patient was a 68-year-old man who underwent total gastrectomy for early gastric cancer and who was diagnosed as having an esophageal irregular protruding tumor. His lesion consisted of two protruberant tumors with iodine staining at the tops. The patient underwent esophagectomy and reconstruction with the ileo-colon. Histologically, the tumor was poorly differentiated squamous cell carcinoma with pleomorphism. Although chemotherapy was given, this patient died with recurrent tumor in the liver and lymph nodes.

Copyright © 1997, Igaku-Shoin Ltd. All rights reserved.


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