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Permalink : https://petit.lib.yamaguchi-u.ac.jp/4613
山口医学 Volume 53 Issue 2
published_at 2004-04-30
A case of multiple early gastric cancer treated endoscopically in the reconstructed stomach after esophagectomy
内視鏡的に治療し得た再建胃管多発早期癌の1例
Tanaka Masaki
Yanai Hideo
Matsubara Yoshitaka
Ktoh Tomoko
Nakamura Youhei
Yoshida Tomoharu
Okita Kiwamu
About This Article
Descriptions
食道癌手術後の定期内視鏡検査により早期胃癌として発見され,内視鏡的粘膜切除術(strip biopsy)にて加療し,その6ヶ月後に異所性多発病巣を認め,再度strip biopsyにて加療し得た再建胃管の一例を経験したので報告する.症例は71歳男性.表在食道癌根治手術後6年目に,定期上部消化管内視鏡検査にて,胃管後壁のOIIc型早期胃管癌を診断された.strip biopsyにて内視鏡的に分化型粘膜内癌を切除した.さらにその半年後の上部消化管内視鏡検査にて,幽門輪近傍大弯側にOIIc型の異所性早期胃管癌が新たに認められた.再度strip biopsyを施行し,やはり分化型粘膜内癌の診断であった.その後18ヶ月間再燃なく経過観察中である.近年の食道癌治療予後向上に伴い再建胃管癌も増加しつつある.しかし胃管癌が進行癌の場合は手術侵襲も大きく,予後も不良であることが多い.このため内視鏡的に根治が期待される段階での胃管癌の早期発見が,非常に重要である.食道癌術前における胃のスクリーニングの重要性もさることながら,術後5年以上経過しても定期内視鏡検査を継続して行うのが望ましいことが示唆された.
Creator Keywords
胃管癌
早期胃癌
strip biopsy
Rights
本文データは山口大学医学会の許諾に基づきCiNiiから複製したものである
Other Article
PP. 99 - 101
PP. 103 - 107