Murakami Kohei, Tamura Shigeyuki, Takeno Atsushi, Ishida Tomo, Kuwahara Ryuichi, Akiyama Yasuki, Sakamoto Takuya, Inatome Junichi, Naito Atsushi, Katsura Yoshiteru, Ohmura Yoshiaki, Kagawa Yoshinori, Egawa Chiyomi, Takeda Yutaka, Kato Takeshi
Dept. of Surgery, Kansai Rosai Hospital.
Gan To Kagaku Ryoho. 2016 Nov;43(12):2010-2012.
A 64-year-old man reporting dysphagia was examined. Upper gastrointestinal endoscopy showed a type 3 cancer at the esophagogastric junction. Enhanced CT scan showed several swollen mediastinal and abdominal lymph nodes. We diagnosed the patient with advanced adenocarcinoma of the esophagogastric junction with multiple lymph node metastases(Siewert type II , cT3N2M1[LYM], Stage IV ). After 5 courses of chemotherapy(S-1 plus cisplatin), a significant reduction was observed in the size of the tumor and lymph nodes. Therefore, we performed conversion surgery. The patient underwent esophagectomy and mediastinal lymph node dissection using a right thoracotomy approach. He has survived without recurrence in the 10 months since this radical surgery.
对一名报告有吞咽困难的64岁男性进行了检查。上消化道内镜检查显示食管胃交界处有3型癌症。增强CT扫描显示纵隔和腹部有多个肿大的淋巴结。我们诊断该患者为食管胃交界部晚期腺癌伴多发淋巴结转移（Siewert II型，cT3N2M1[LYM]，IV期）。经过5个疗程的化疗（S-1加顺铂）后，观察到肿瘤和淋巴结大小显著缩小。因此，我们进行了转化手术。患者采用右胸切口入路接受了食管切除术和纵隔淋巴结清扫术。自这次根治性手术后，他已存活10个月且无复发。
