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食管基底样鳞状细胞癌孤立性肺转移灶的手术切除:一例报告

Surgical resection of a solitary pulmonary metastasis from basaloid squamous cell carcinoma of the esophagus: a case report.

作者信息

Kosaka Takayuki, Mogi Akira, Yamaki Ei, Miyazaki Tatsuya, Kuwano Hiroyuki

机构信息

Department of General Surgical Science, Graduate School of Medicine, Gunma University, Maebashi, Gunma, Japan.

出版信息

Ann Thorac Cardiovasc Surg. 2014;20 Suppl:646-9. doi: 10.5761/atcs.cr.13-00100. Epub 2013 Oct 3.

Abstract

Basaloid squamous cell carcinoma (BSCC) of the esophagus is a relatively rare variant of esophageal malignancies. It is regarded as a disease with a poor prognosis because of the high frequency of distant metastases. We managed a case of resected solitary pulmonary metastasis of BSCC of the esophagus in a 78-year-old female. We performed curative thoracic esophagectomy with three-field lymph node dissection for her disease. After two years and nine months, a thoracoscopic partial resection of the left lung was performed for the solitary pulmonary metastasis. At present, one year after the surgery, the patient is doing well without any recurrence. There have been few reports of case of resected pulmonary metastases. In addition, no treatment strategy for pulmonary metastases from BSCC of the esophagus has been established because of the limited number of cases. Additional cases are required to determine the treatment method.

摘要

食管基底样鳞状细胞癌(BSCC)是一种相对罕见的食管恶性肿瘤变体。由于远处转移的高发生率,它被认为是一种预后较差的疾病。我们诊治了一名78岁女性食管BSCC切除术后孤立性肺转移的病例。我们对她的疾病进行了根治性胸段食管切除术并进行了三野淋巴结清扫。两年零九个月后,对孤立性肺转移灶进行了胸腔镜下左肺部分切除术。目前,手术后一年,患者情况良好,无任何复发迹象。关于切除肺转移灶的病例报道很少。此外,由于病例数量有限,尚未确立食管BSCC肺转移的治疗策略。需要更多病例来确定治疗方法。

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