Course of a Superficial Esophageal Carcinoma: Tumor Progression to Advanced Cancer, Report of a Case.
|
Accession number;03A0197684
|
| Title;Course of a Superficial Esophageal Carcinoma: Tumor Progression to Advanced Cancer, Report of a Case. |
| Author;
CHINO OSAMU
(Tokai Univ., Sch. of Med.)
SHIMADA HIDEO
(Tokai Univ., Sch. of Med.)
NISHI TAKAYUKI
(Tokai Univ., Sch. of Med.)
HARA TADASHI
(Tokai Univ., Sch. of Med.)
YAMAMOTO SOICHIRO
(Tokai Univ., Sch. of Med.)
ITO EISUKE
(Tokai Univ., Sch. of Med.)
TAKECHI AKIHIKO
(Tokai Univ., Sch. of Med.)
MIZUTANI KYOICHI
(Mizutaniiin)
MAKUUCHI HIROYASU
(Tokai Univ., Sch. of Med.)
|
Journal Title;Gastroenterol Endosc
|
Journal Code:G0608B
|
ISSN:0387-1207
|
|
VOL.45;NO.3;PAGE.241-246(2003)
|
| Figure&Table&Reference;FIG.7, TBL.1, REF.28 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;A 59-year-old man under treatment for hepatitis B, liver cirrhosis, esophageal varices and hepatocellular carcinoma was submitted to endoscopic variceal ligation (EVL) for esophageal varices in the other hospital. During the follow-up, a superficial esophageal carcinoma was detected and the patient was referred to Tokai University hospital for further examination and treatment. Initial endoscopic examination revealed a slightly depressed lesion type 0-IIc at the lower thoracic to abdominal esophagus. The lesion was diagnosed to be an early stage carcinoma limited to the muscularis mucosae (depth m3), measuring 3cm in size, occupying one half of the circumference. An ulcer scar after EVL was noted on the lesion. He was assigned to no therapy because the treatment seemed too risky due to liver failure and esophageal varices adjacent to the carcinoma. The tumor progressed to a type 0-Ip+IIc invading to submucosa (depth sm3) in three months, and then to a type 1p+0-IIc advanced cancer extending into muscularis propria five months after the initial examination. The tumor became a type 2 lesion in six months, and then a type 3 lesion extending further into adventitia in eight months. Finally, the patient died for liver failure eight months after the initial endoscopic examination. (author abst.) |
|
|
|
Related Articles;
|
|
