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Squamous Cell Carcinoma Associated with Achalasia of the Esophagus, Report of a Case Shinji Ohashi 1 , Shozo Okamura 1 , Hiroshi Nakagawa 1 , Yasuaki Fujii 1 , Hisayoshi Itoh 1 1Department of Internal Medicine, Toyohashi City Hospital Keyword: 食道アカラシア , 食道癌 , 画像診断 pp.977-982
Published Date 1992/8/25
DOI https://doi.org/10.11477/mf.1403109962
  • Abstract
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 A 47-year-old male had complained dysphagia for the six years preceding admission. Barium swallow at another hospital revealed esophageal dilatation, but no further examination was carried out. In 1991, upper gastrointestinal barium examination showed elevated lesion of the esophagus, and he was admitted to our hospital. Esophagogram (Fig. 1) revealed a markedly dilated sigmoid-shaped esophagus with persistent barium retention of the esophageal vestibule. A double contrast view demonstrated a polypoid lesion in the midthoracic esophagus with nearby irregular mucosa. Esophagoscopic examination (Fig. 2) showed a polypoid lesion with an irregular surface surrounded by reddish and slightly elevated lesions with coarse granular surface. Iodine staining showed the lesion to be unstained, and compatible with this lesion as esophageal carcinoma associated with achalasia. Endoscopic ultrasonographic picture (Fig. 3) showed symmetrical thickening of the whole esophageal wall and the tumor invading into the proper muscle layer at 35 cm from the incisor teeth. Histological examination (Figs. 4 and 5) showed a moderately differentiated squamous cell carcinoma with achalasia of the esophagus. There were degeneration and marked loss of ganglion cells in Auerbach's plexus. The tumors was approximately 72×69 mm in size and invaded into proper muscle layer.


Copyright © 1992, 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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