Ogo Taichi, Ishihara Kei, Nishino Masashi, Inokuch Mikito, Sakurai Urara
Dept. of Surgery, Musashino Red Cross Hospital.
Gan To Kagaku Ryoho. 2023 Sep;50(9):997-999.
A 70-year-old man was diagnosed with middle and lower thoracic esophageal squamous cell carcinoma. A computed tomography(CT)scan revealed multiple pulmonary metastases. The clinical stage was T3N1M1, Stage Ⅳb. After esophageal stent placement was performed to alleviate strong stenotic symptoms, cisplatin/5-fluorouracil(CDDP/5-FU)therapy was introduced, and 8 courses were completed. Four additional courses of 5-FU monotherapy were then administered. Following systemic chemotherapy, CT scans showed no evidence of lung metastases. About a year after the initial treatment, the patient underwent a thoracoscopic esophagectomy. Postoperatively, he was followed up without treatment and has remained alive for 1 year and 4 months without any recurrence.
一名70岁男性被诊断为胸段食管中下段鳞状细胞癌。计算机断层扫描（CT）显示多发肺转移。临床分期为T3N1M1，Ⅳb期。在置入食管支架以缓解严重狭窄症状后，采用顺铂/5-氟尿嘧啶（CDDP/5-FU）治疗，共完成8个疗程。随后又给予4个疗程的5-氟尿嘧啶单药治疗。全身化疗后，CT扫描显示无肺转移迹象。初始治疗约一年后，患者接受了胸腔镜下食管切除术。术后，对其进行随访观察，未进行治疗，患者存活至今1年4个月，无任何复发迹象。
