Department of Thoracic Surgery, Tianjin Chest Hospital, Tianjin, China.
Ann Thorac Surg. 2012 Dec;94(6):2103-5. doi: 10.1016/j.athoracsur.2012.03.110.
Patients with corrosive induced esophageal strictures have an increased risk of esophageal carcinoma. We present a case of a 61-year-old man who ingested sulfuric acid at the age of 3 years and then developed dysphagia at late follow-up. In 2010, he presented to the outpatient clinic with weight loss and worsening dysphagia to both solids and liquids. A barium swallow radiograph and endoscopy demonstrated a long stricture in the middle third of the esophagus. Ivor-Lewis esophagectomy was undertaken via an upper midline abdominal incision and a right thoracotomy, and pathologic examination of the resection specimen confirmed a well-differentiated esophageal squamous cell carcinoma. Twenty-two months postoperatively, he reports no dysphagia, and no tumor recurrence was evident during follow-up.
腐蚀性食管炎导致的食管狭窄患者罹患食管癌的风险增加。我们报告了 1 例 61 岁男性患者,其在 3 岁时误服硫酸,随后在随访后期出现吞咽困难。2010 年,患者因体重减轻和固体及液体吞咽困难加重就诊于门诊。钡餐造影和内镜检查显示食管中段长段狭窄。经上腹部正中切口和右胸切开行 Ivor-Lewis 食管切除术,切除标本的病理检查证实为分化良好的食管鳞状细胞癌。术后 22 个月,患者无吞咽困难,随访期间未见肿瘤复发。