雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Mucosal Pattern in Cancer of the Esophagus H. Akiyama 1,2 , Z. Yamazaki 3 , T. Kogure 4 , Y. Itai 4 , H. Kato 5 1Dept. of Thoracic Surgery, Tokyo Metropolitan police Hospital 32nd Dept. of Surgery, Faculty of Med., Univ. of Tokyo 4Dept. of Radiology, Faculty of Med., Univ. of Tokyo 5Dept. of Pathology, Faculty of Med., Univ. of Tokyo pp.1055-1062
Published Date 1972/8/25
DOI https://doi.org/10.11477/mf.1403109179
  • Abstract
  • Look Inside

 Mutilple cancerous lesions are not infrequently noticed in the specimen of squamous cell carcinoma of the esophagus. However, the relationship between multicentric origin or seperate nodule and intraepithelial carcinoma has not been completely discussed.

 One hundred and forty cases of squamous cell carcinoma of the esophagus have been examined. Intraepithelial carcinoma associated with carcinoma of the esophagus was noted in 31 cases (22.1%). Seventeen cases with multiple cancerous lesions were analyzed. Group 1 (4 cases) has concomitant intraepithelial carcinoma which is very distant from the main tumor. Group 2 (3 cases) has seperate or satellite nodule with concomitant intraepithelial carcinoma. Group 3 (7 cases) has extensive concomitant intraepithelial carcinoma and group 4 (4 cases) has other intramural cancerous lesions (infiltration or embolic metastases from the main tumor). (One case belongs to 2 groups.)

 Detailed observation of groups 1, 2 and a part of 3 led us to assume multicentric origin of primary independent origin of primary independent cancer foci, while group 3 suggested wide cancer focus of unknown origin. So-called pseudosarcoma is considered as one of various changes delivered from intraepithelial carcinoma. Separate or satellite nodule, often developing from it, should be distinguished from infiltration or embolic metastases.

 Some of these mucosal patterns or subepithelial metastases can be recognized by macroscopic observation and through esophagotomy, for accurate resection is the aim of our routine procedure.


Copyright © 1972, Igaku-Shoin Ltd. All rights reserved.

基本情報

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

関連文献

もっと見る

文献を共有