Choi Jeong Cheon, Kim Gwang Ha, Park Do Youn, Seoung Hyeog Gyu, Lee Yong Jae, Kim Ji Hye, Kim Tae Kyun, I Hoseok
Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea.
Clin Endosc. 2013 Mar;46(2):182-5. doi: 10.5946/ce.2013.46.2.182. Epub 2013 Mar 31.
Early esophageal cancer is defined as a tumor invading the mucosa with or without lymph node or distant organ metastasis. In the current guidelines for early esophageal cancer, absolute indication for endoscopic resection include lesions limited to the epithelium or lamina propria mucosa not exceeding two-thirds of the circumference, and relative indications include lesions limited to the muscularis mucosa or the upper third of the submucosal layer and not accompanied by clinical evidence of lymph node metastasis. After endoscopic submucosal dissection for early esophageal cancer, locally recurrent cancer can occur, especially in the case of incomplete resection. Here, we report a rare case of a submucosal tumor-like recurrence after endoscopic resection of early esophageal cancer.
早期食管癌被定义为侵犯黏膜且有无淋巴结或远处器官转移的肿瘤。在当前早期食管癌指南中，内镜切除的绝对指征包括病变局限于上皮或固有层黏膜且不超过周长的三分之二，相对指征包括病变局限于黏膜肌层或黏膜下层上三分之一且无淋巴结转移的临床证据。早期食管癌内镜黏膜下剥离术后可发生局部复发性癌，尤其是在切除不完全的情况下。在此，我们报告一例早期食管癌内镜切除术后罕见的黏膜下肿瘤样复发病例。
