Tangoku A, Hayashi H, Kanamura S, Yoshino S, Abe T, Yoshimoto Y, Morioka T, Oka M
Department of Surgery II, Yamaguchi University School of Medicine, 1-1-1 Minami-Kogushi, Ube, 755-8505, Japan.
Surg Endosc. 2000 Jun;14(6):595. doi: 10.1007/s004640001026. Epub 2000 Mar 24.
Superficial esophageal cancers limited to the lamina propria are not associated with lymph node metastases. Mediastinoscopic transhiatal esophagectomy was planned in a patient with widespread superficial cancer of the midthoracic esophagus. Sampling of the upper mediastinal lymph nodes revealed metastases. The operation was converted to a transthoracic esophagectomy with radical lymphadenectomy. Histopathologic examination of the resection specimen showed three metastatic lymph nodes, despite local invasion limited to the lamina propria. This is the first report of a patient with superficial esophageal cancer and lymph node metastases.
局限于黏膜固有层的表浅食管癌不伴有淋巴结转移。对于一名患有广泛的胸段食管中部表浅癌的患者，计划进行纵隔镜经裂孔食管切除术。对上纵隔淋巴结进行采样发现有转移。手术改为经胸食管切除术并进行根治性淋巴结清扫。切除标本的组织病理学检查显示有三个转移淋巴结，尽管局部侵犯仅限于黏膜固有层。这是首例关于表浅食管癌伴淋巴结转移患者的报告。
