Sanada Y, Hihara J, Yoshida K, Yamaguchi Y
Department of Surgical Oncology, Research Institution for Radiation Biology and Medicine, Hiroshima, Japan.
Dis Esophagus. 2006;19(2):119-31. doi: 10.1111/j.1442-2050.2006.00551.x.
A case of esophageal carcinosarcoma is described herein. A 58-year-old man presented with dysphagia and was admitted to our hospital. Imaging studies revealed a type 3 tumor in the upper intrathoracic esophagus with direct invasion to the left main bronchus. Analysis of a biopsy specimen revealed carcinosarcoma. The patient underwent esophageal bypass and chemoradiotherapy. Eight months after surgery, he died of esophago-bronchial fistula. Autopsy examination revealed liver metastasis, peritoneal dissemination and intramural metastasis. The sarcomatous component was predominant in the intramural and liver metastatic lesions.
本文描述了一例食管癌肉瘤病例。一名58岁男性因吞咽困难入院。影像学检查显示胸段上段食管有3型肿瘤，直接侵犯左主支气管。活检标本分析显示为癌肉瘤。患者接受了食管旁路手术及放化疗。术后8个月，患者死于食管支气管瘘。尸检发现有肝转移、腹膜播散及壁内转移。壁内及肝转移灶中肉瘤成分占主导。
