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ID 38286
file
title alternative
腐蝕性食道狭窄に併発した食道癌の1例
creator
Miyoshi, Nobukazu
Kanehiro, Keiichi
Takesue, Yoshio
Kodama, Takashi
Yokoyama, Takashi
subject
Esophageal cancer
Corrosive stricture of the esophagus
Lye
NDC
Medical sciences
abstract
A case is presented of carcinoma of the esophagus (Im) which developed at a site of chronic corrosive stricture caused by ingestion of an alkaloid mixture about seventy years previously.

Thoracic esophagectomy was performed and the antesternal route reconstruction with esophagogastrostomy was done. The carcinoma was confined to the muscula propria of the strictured esophagus and was surrounded by severe to mild dysplasia. The incidence of carcinoma among patients with chronic corrosive esophageal stricture is significantly higher than that in the general population. But in Japan, the incidence of this type of case has been less than ten.

In this case report, we have emphasized that, (1) The risk of carcinogenesis is high after a lapse of 30 years following stricture of the esophagus and that careful examination is needed, (2) The primary cause of malignant transformation of corrosive stricture is long localized irritation in the area where physical esophageal peristalsis has been lost and (3) During surgical treatment for stricture of the esophagus, with or without carcinoma, esophageal resection with reconstruction is better than a bypass procedure for preventing subsequent development of carcinoma.
journal title
Hiroshima Journal of Medical Sciences
volume
Volume 33
issue
Issue 4
start page
789
end page
792
date of issued
1984-12
publisher
Hiroshima University School of Medicine
issn
0018-2052
ncid
pubmed id
language
eng
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
department
Graduate School of Biomedical Science
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