Kawano Seiji, Kusunoki Ryusaku, Aimi Masahito, Higashi Reiji, Ishii Yasushi, Fujishiro Hirofumi, Kobayashi Keita, Okada Hiroyuki, Shiratori Yasushi
Department of Internal Medicine, Tottori Municipal Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2007 Apr;104(4):535-41.
A 82-year-old man was admitted into our hospital complaining of dysphagia. Endoscopic examination revealed an elevated tumor in the middle esophagus, and biopsy revealed carcinosarcoma. He underwent chemo-radiotherapy, and the size of tumor decreased remarkably and almost disappeared 7 months later. However, a metastatic lesion appeared 11 months later, and eventually he died. Autopsy revealed a sarcomatous element in the metastatic part, but the primary lesion showed no recurrence. We report herein this rare case of carcinosarcoma of the esophagus that was treated with chemo-radiotherapy.
一名82岁男性因吞咽困难入院。内镜检查发现食管中段有一隆起性肿瘤,活检显示为癌肉瘤。他接受了放化疗,7个月后肿瘤大小显著减小,几乎消失。然而,11个月后出现了转移灶,最终患者死亡。尸检发现转移部位有肉瘤成分,但原发灶未复发。我们在此报告这例经放化疗治疗的罕见食管癌肉瘤病例。