Advanced Esophageal Cancer in Which Two Different Patterns of Progression were Retrospectively Observed on X-ray Images, Report of Two Cases Masato Otsuji 1 , Shintaro Tsukasa 1 , Yoshito Nishimata 1 , Yoshiteru Yonezawa 1 , Kimihiko Higo 1 1The Second Department of Internal Medicine, Faculty of Medicine, Kagoshima University pp.1264-1268
Published Date 1988/11/25
DOI https://doi.org/10.11477/mf.1403108780
  • Abstract
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 We observed two different patterns of esophageal cancer progression in two patients.

 (Case 1) A 55 year-old man. He visited our department and was diagnosed as having multiple stomach ulcers. In the follow up over a period of seven months, an advanced esophageal carcinoma was found incidentally. The series of x-ray images taken at the initial visit were reviewed. However, it was difficult to spot the lesion concerned.

 (Case 2) A 64 year-old man. A stomach ulcer was pointed out during his initial visit to our department. During the course of his treatment over a period of ten months, an esophageal cancer was suspected. Poor distensibility at the lesion site was still present to the same degree as it was in the previous examinations.

 X-ray images taken during the course of treatment suggested that, compared to growth rate in Case 2, the carcinoma in Case 1 followed a pattern of rapid growth.

 Therefore, there might exist two different patterns of esophageal cancer progression, rapid growth and slow growth.

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