Hanada M, Horimi T, Takeda I, Takano A, Kanbara H, Yamamoto S, Ito H, Hamada M, Aimori T, Hisa A
Kochi Municipal Central Hospital, Dept. of Surgery, Cancer Institute, Digestive Disease and Laboratory Investigation.
Gan No Rinsho. 1990 Oct;36(12):2158-62.
Reported is the case of a 58-year-old male who visited our hospital with the chief complaint of anorexia. Diagnosed as having an esophageal cancer, a subtotal esophagectomy was performed including the dissection of the tumor. According to the surgical findings, the tumor was not exposed to the tunica externa and no lymph node metastasis or infiltration to the pleura or a metastasis to the lung or liver was note. On histopathological examination a basal cell carcinoma of esophagus was determined but no squamous epithelium was seen. The carcinoma was the muscular propria, and neither infiltration into the epithelium nor invasion into the vessels was noted. The postoperative progress appeared good, however seven months later the patient died from multiple hepatic metastasis.
报告了一例58岁男性患者,以厌食为主诉前来我院就诊。诊断为食管癌,行次全食管切除术,包括肿瘤切除。根据手术所见,肿瘤未累及外膜,未发现淋巴结转移、胸膜浸润或肺或肝转移。组织病理学检查确定为食管基底细胞癌,但未见鳞状上皮。癌位于固有肌层,未发现上皮浸润或血管侵犯。术后恢复良好,但七个月后患者死于多发性肝转移。