Oka T, Ayabe H, Kawahara K, Tagawa Y, Hara S, Tsuji H, Kusano H, Nakano M, Tomita M
First Department of Surgery, Nagasaki University, School of Medicine, Japan.
Cancer. 1993 May 15;71(10):2958-61. doi: 10.1002/1097-0142(19930515)71:10<2958::aid-cncr2820711012>3.0.co;2-1.
A patient with metastatic carcinoma of the esophagus from lung cancer is reported. The patient was a 54-year-old woman who underwent a left lower lobectomy for lung cancer 5 years previously. The authors performed a thoracic esophagectomy, dissection of mediastinal lymph nodes, and reconstruction of the esophagus; the surgery was followed by chemotherapy. Because the histologic pattern of the esophageal tumor was similar to that of lung cancer and mucosal involvement was not seen, the esophageal tumor was interpreted to be a metastasis from lung cancer. The patient is well without recurrence of disease 23 months after operation. This is the first report of a successful esophagectomy for metastatic carcinoma of the esophagus from lung cancer.
本文报道了一名患有肺癌转移性食管癌的患者。该患者为一名54岁女性,5年前因肺癌接受了左下肺叶切除术。作者进行了胸段食管切除术、纵隔淋巴结清扫术及食管重建术;术后进行了化疗。由于食管肿瘤的组织学模式与肺癌相似且未见黏膜受累,故认为食管肿瘤为肺癌转移所致。患者术后23个月情况良好,无疾病复发。这是首例成功进行肺癌转移性食管癌食管切除术的报道。