Goto Toshihiro, Watabe Hirotsugu, Kawakami Takayuki, Watanabe Masashi, Nakano Kentaro, Takai Atsuko, Kitazawa Eriko, Sato Shinpei, Tajima Yasuo, Mizuguchi Kunio, Kikuchi Kentaro, Miyakawa Hiroshi, Murakawa Yuji
Fourth Department of Internal Medicine, Teikyo University Mizonokuchi Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2007 Aug;104(8):1204-11.
A 63-year-old man visited our hospital with complaints of the chest pain and loss of appetite. A computed tomography of chest showed wall thickening in the lower portion of the esophagus and carinal and para-aorta lymph node swelling. Upper gastrointestinal endoscopy revealed an irregular ulcerated lesion in the middle portion of the esophagus, which was pathologically diagnosed as small cell carcinoma. A computed tomography of the abdomen showed multiple liver metastases and para-aortic, cardiac, and common hepatic arterial lymph node swelling. One course of combined chemotherapy with CPT-11 and CDDP, then 3 courses of chemotherapy with CPT-11 showed clinical complete remission.
一名63岁男性因胸痛和食欲不振前来我院就诊。胸部计算机断层扫描显示食管下段壁增厚以及隆突下和主动脉旁淋巴结肿大。上消化道内镜检查发现食管中段有一不规则溃疡病变，经病理诊断为小细胞癌。腹部计算机断层扫描显示多发肝转移以及主动脉旁、贲门和肝总动脉淋巴结肿大。采用CPT - 11和顺铂进行了1个疗程的联合化疗，随后用CPT - 11进行了3个疗程的化疗，结果显示临床完全缓解。
