Shimizu R, Murakami T, Wadamori K, Yano K, Suzuki T
Second Department of Surgery, Yamaguchi University School of Medicine, Ube, Japan.
Surg Today. 1993;23(1):63-7. doi: 10.1007/BF00309002.
A 73-year-old man was hospitalized with pathologically documented hepatocellular carcinoma and cirrhosis, and a 5.0-cm tumor located in the left lobe was resected by a left lateral segmentectomy. At the same time, metastatic squamous cell carcinoma was identified by frozen section in a perigastric lymph node in the lesser omentum. Intraoperative endoscopy revealed a 1.0-cm erosive lesion in the thoracic esophagus that was subsequently found to be primary squamous cell carcinoma. Seven weeks later, a transthoracic subtotal esophagectomy with substernal, cervical esophagogastrostomy was performed. Twenty-two months after these resections there has been no recurrence of either the hepatocellular or esophageal carcinomas.
一名73岁男性因病理确诊的肝细胞癌和肝硬化入院，其左叶有一个5.0厘米的肿瘤，通过左外叶切除术切除。同时，术中冰冻切片在小网膜胃周淋巴结中发现转移性鳞状细胞癌。术中内镜检查发现胸段食管有一个1.0厘米的糜烂性病变，随后发现为原发性鳞状细胞癌。七周后，进行了经胸次全食管切除术并在胸骨后、颈部行食管胃吻合术。这些切除术后22个月，肝细胞癌和食管癌均未复发。
