Shima I, Fujita H, Yamana H, Tomita Y, Kakegawa T, Morimatsu M
Department of Surgery, Kurume University School of Medicine, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1994 Nov;42(11):2112-6.
This report describes a rare case of superficial spreading esophageal carcinoma with a long sclerosis of the esophageal wall and dysphagia. The patient was a 64-year-old male with dysphagia. An esophagogram showed a long sclerosis from the upper-third to the lower-third of the esophagus. An esophagoscopy revealed a small ulcerative tumor (approximately 3 cm in size) at the level of 33 cm from the incisor teeth, and intraepithelial spread, 16 cm in length. However, esophageal stricture was not found in preoperative examinations. Histopathologically, most of the cancerous lesions were mucosal cancers with severe lymphocyte infiltration and the marked thickening of muscularis mucosa. These findings suggest the possibility that the sclerosis of the esophageal wall and esophageal dysfunction may be caused by these pathological changes.
本报告描述了一例罕见的浅表扩散型食管癌，伴有食管壁长期硬化和吞咽困难。患者为一名64岁男性，有吞咽困难症状。食管造影显示食管上三分之一至下三分之一处有长期硬化。食管镜检查发现距门齿33 cm处有一个小的溃疡性肿瘤（大小约3 cm），上皮内扩散长度为16 cm。然而，术前检查未发现食管狭窄。组织病理学检查显示，大多数癌性病变为黏膜癌，伴有严重的淋巴细胞浸润和黏膜肌层明显增厚。这些发现提示食管壁硬化和食管功能障碍可能是由这些病理变化引起的。
