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A case of esophageal barrett’s adenocarcinoma forming a longitudinal elevation

山口医学 Volume 62 Issue 1 Page 27-31
published_at 2013-02-01
B030062000104.pdf
[fulltext] 2.18 MB
Title
縦走する隆起を呈したBarrett食道腺癌の1例
A case of esophageal barrett’s adenocarcinoma forming a longitudinal elevation
Creators Matsunaga Kazuhito
Creators Nishikawa Jun
Creators Nakamura Munetaka
Creators Nishimura Junichi
Creators Goto Atsushi
Creators Okamoto Takeshi
Creators Takeda Shigeru
Creators Nakamura Yohei
Creators Hoshii Yoshinobu
Creators Sakaida Isao
Source Identifiers
Creator Keywords
食道腺癌 Barrett食道 脈管侵襲
症例は60歳代の男性.近医での上部消化管内視鏡検査で食道に隆起性病変を指摘され,精査加療目的で当科に入院した.上部消化管内視鏡検査で胸部上部食道から食道胃接合部にかけて縦走する隆起性病変を認め,下部食道ではBarrett食道を認めた.隆起部の生検で腺癌と診断された.食道造影検査では,胸部下部食道で壁変形が強く台状変形を認めた.造影CT等で気管分岐部,噴門部,右半回リンパ節転移が疑われたが,遠隔転移は否定的であった.胸腔鏡・腹腔鏡補助下食道亜全摘術を施行し,病理診断は中分化型腺癌で外膜浸潤を認め,癌の脈管侵襲が目立った.内視鏡的・病理学的にBarrett食道が認められ,Barrett食道由来の腺癌の可能性が考えられた.本病巣は著明な脈管侵襲により縦走する形態を呈したと考えられた.
A-60-year-old man was referred to our hospital for further examination and treatment for a longitudinal elevation from the upper to lower esophagus and a short segment Barrett’s esophagus in the esophagogastric junction. Histlogical examination of the biopsy specimen from the elevated lesion showed adenocarcinoma. Upper gastrointestinal series showed the same findings as EGD, and trapezoid deformity in the lower esophagus. Sub-total esophagectomy was performed. Histopathological examination revealed Barrett’s esophagus and adenocarcinoma with massive lymphovascular invasion. Based on these findings, we thought that this tumor was esophageal adenocarcinoma arising from Barrett’s esophagus and forming a longitudinal elevation.
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 2013-02-01
File Version Version of Record
Access Rights open access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools 医学部