Cwikiel W, Tranberg K G, Willén R
Department of Diagnostic Radiology, University Hospital, Lund, Sweden.
Cardiovasc Intervent Radiol. 1995 Jul-Aug;18(4):247-50. doi: 10.1007/BF00239421.
A 92-year-old man with dysphagia secondary to squamous cell carcinoma of the esophagus was palliated repeatedly with endoscopic laser therapy and insertion of esophageal stents. During the treatment period of 32 months, the patient could be fed perorally while ingrowth of tumor, development of new stenoses at the edges of the stents, and breakage of one stent were encountered. A tracheosesophageal fistula developed at the upper edge of the first stent. The patient died from aspiration pneumonia. At autopsy, no cancer cells were found in the esophagus. Combined endoscopic laser treatment and stent therapy may keep a patient free from dysphagia during a long period of time and also may result in the complete disappearance of tumor growth in the esophagus.
一名92岁男性因食管鳞状细胞癌继发吞咽困难，多次接受内镜激光治疗并置入食管支架。在32个月的治疗期间，患者能够经口进食，但出现了肿瘤向内生长、支架边缘出现新的狭窄以及一个支架断裂的情况。在第一个支架的上缘出现了气管食管瘘。患者死于吸入性肺炎。尸检时，食管中未发现癌细胞。内镜激光治疗和支架治疗相结合可使患者在较长时间内免于吞咽困难，也可能导致食管内肿瘤生长完全消失。
