書誌事項
- タイトル別名
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- CASE OF SUPERFICIAL SMALL CELL CARCINOMA OF THE ESOPHAGUS WITH LIVER METASTASIS
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Small cell carcinoma arising in the esophagus is a relatively rare diagnose. We present a case of superficial small cell carcinoma of the esophagus with liver metastasis treated by operation and chemotherapy. The patient was a 75-year-old woman. She complained of constipation and had the occult blood of stool pointed out by her home doctor. Endoscopic examination revealed a tumor in the abdominal esophagus, and biopsy demonstrated carcinoma. She underwent operation under the diagnosis of squamous cell carcinoma of the esophagus. During the operation, one of multiple liver metastases was diagnosed as small cell carcinoma by analysis of freshly prepared frozen sections. An abdominal esophagectomy with proximal gastrectomy was performed without any lymph node dissection. A plateau esophageal tumor, lcm in diameter, was histologically composed of small cell carcinoma with the invasion depth of sm3. These small cells were positive for synaptophysin and ACTH, and electoron microscopical examination demonstrated intracytoplasmic neurosecretory glanules. The patient recieved post-operative chemotherapy consisting of Carboplatin and etoposide. Liver metastasis was once disappeared by computed tomography. But the patient died of rapid progress of the liver metastasis, to months after the surgery.
収録刊行物
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- 日本消化器内視鏡学会雑誌
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日本消化器内視鏡学会雑誌 46 (7), 1340-1345, 2004
一般社団法人 日本消化器内視鏡学会
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詳細情報 詳細情報について
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- CRID
- 1390282679193457152
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- NII論文ID
- 10013549252
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- NII書誌ID
- AN00192102
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- ISSN
- 18845738
- 03871207
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
