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胃壁内转移:食管鳞状细胞癌的一种罕见表现

Intramural Gastric Metastasis: A Rare Presentation of Esophageal Squamous Cell Carcinoma.

作者信息

Roul Pradeep Kumar, Saran Sonal, Poonia Dharma Ram, Paul Pranoy

机构信息

Department of Radiodiagnosis, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Department of Surgical Oncology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

出版信息

J Med Ultrasound. 2021 Aug 21;30(1):47-49. doi: 10.4103/JMU.JMU_1_21. eCollection 2022 Jan-Mar.

DOI:10.4103/JMU.JMU_1_21
PMID:35465584
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9030344/
Abstract

Intramural gastric metastasis of the esophageal carcinoma, excluding the direct extension of primary neoplasm, is rare. However, intramural metastasis to the esophagus is commoner than this. These are more common in squamous cell carcinoma variant. This signifies a poor prognosis. It is due to the spread of pathology through the intramural lymphatic channels. Sometimes the metastatic lesion is more extensive in volume than the primary. This is more often diagnosed on histopathology in postoperative specimens. We share our imaging experience with surface esophageal squamous cell carcinoma with giant intramural gastric metastasis infiltrating the liver in a 39-year-old male. Due to its rarity, and secondary lesion being more extensive than the primary leads to misinterpretation and wrong diagnosis. Knowledge of this rare phenomenon can prevent misdiagnosis, fasten the imaging workup, and ultimately improve the patient's survival.

摘要

食管癌壁内胃转移,不包括原发性肿瘤的直接蔓延,较为罕见。然而,壁内转移至食管的情况比这更为常见。这些在鳞状细胞癌变体中更为常见。这预示着预后不良。这是由于病理通过壁内淋巴通道扩散所致。有时转移病灶的体积比原发灶更大。这在术后标本的组织病理学检查中更常被诊断出来。我们分享一名39岁男性患者的影像经验,该患者为食管表面鳞状细胞癌伴巨大壁内胃转移并浸润肝脏。由于其罕见性,且继发性病变比原发性病变更广泛,导致误诊和错误诊断。了解这种罕见现象可以防止误诊,加快影像检查流程,并最终提高患者的生存率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c300/9030344/e08faab183c2/JMU-30-47-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c300/9030344/ce4a28388068/JMU-30-47-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c300/9030344/0a1728d70bfc/JMU-30-47-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c300/9030344/ab3661f05ef7/JMU-30-47-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c300/9030344/3d384370c22f/JMU-30-47-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c300/9030344/e08faab183c2/JMU-30-47-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c300/9030344/ce4a28388068/JMU-30-47-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c300/9030344/0a1728d70bfc/JMU-30-47-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c300/9030344/ab3661f05ef7/JMU-30-47-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c300/9030344/3d384370c22f/JMU-30-47-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c300/9030344/e08faab183c2/JMU-30-47-g005.jpg

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World J Gastroenterol. 2023 Nov 28;29(44):5935-5944. doi: 10.3748/wjg.v29.i44.5935.
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Combined treatment with surgery and immune checkpoint inhibitor extended survival in a case of gastric intramural metastasis from esophageal cancer: a case report.手术联合免疫检查点抑制剂治疗延长了一例食管癌胃壁内转移患者的生存期:病例报告
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本文引用的文献

1
Neoadjuvant Chemoradiotherapy Followed by Surgery Versus Surgery Alone for Locally Advanced Squamous Cell Carcinoma of the Esophagus (NEOCRTEC5010): A Phase III Multicenter, Randomized, Open-Label Clinical Trial.新辅助放化疗联合手术对比单纯手术治疗局部进展期食管鳞癌(NEOCRTEC5010):一项 III 期、多中心、随机、开放标签临床试验。
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Epidemiology of Esophageal Squamous Cell Carcinoma.食管鳞状细胞癌的流行病学
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