Surgical Resection of Thoracic Esophageal Cancer with Interstitial Lung Disease : A Case Report
Hiroshima Journal of Medical Sciences Volume 65 Issue 1
Page 19-23
published_at 2016-03
アクセス数 : 1552 件
ダウンロード数 : 264 件
今月のアクセス数 : 2 件
今月のダウンロード数 : 1 件
この文献の参照には次のURLをご利用ください : https://ir.lib.hiroshima-u.ac.jp/00039749
File |
HiroshimaJMedSci_65_19.pdf
301 KB
種類 :
fulltext
|
Title ( eng ) |
Surgical Resection of Thoracic Esophageal Cancer with Interstitial Lung Disease : A Case Report
|
Creator |
Ibuki Yuta
Taomoto Junya
Furukawa Takaoki
Yamakita Ichiko
|
Source Title |
Hiroshima Journal of Medical Sciences
|
Volume | 65 |
Issue | 1 |
Start Page | 19 |
End Page | 23 |
Journal Identifire |
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
|
Abstract |
Patients with esophageal cancer often have various comorbidities, and these sometimes limit treatment choices. We describe a patient with stage IA esophageal cancer accompanied by interstitial lung disease (ILD). Endoscopic resection and radiotherapy were not appropriate because of clinically diagnosed submucosal invasion and the patient was at high risk of ILD exacerbation. We therefore selected transhiatal esophagectomy without a thoracotomy considering the risk of postoperative respiratory complications, and administered methylprednisolone and sivelestat in the perioperative period for the reduction of surgical stress. To our knowledge, this is the first report of surgical treatment for esophageal cancer with ILD. The patient was discharged without postoperative complications. Transhiatal esophagectomy is an appropriate choice for patients with early-stage esophageal cancer without lymph node metastasis who are at high risk for postoperative respiratory complications. The appropriate selection of treatment is important for patients with esophageal cancer considering the risk of complications.
|
Keywords |
Transhiatal esophagectomy
Inflammatory diseases
|
NDC |
Medical sciences [ 490 ]
|
Language |
eng
|
Resource Type | departmental bulletin paper |
Publisher |
Hiroshima University Medical Press
|
Date of Issued | 2016-03 |
Rights |
Copyright (c) 2016 Hiroshima University Medical Press
|
Publish Type | Version of Record |
Access Rights | open access |
Source Identifier |
[ISSN] 0018-2052
[NCID] AA00664312
|