ESECTED CASE OF CARCINOID OF THE ESOPHAGUS DEVELOPING LYMPH NODE METASTASES OF THE NECK AND MEDIASTINUM -A COMPARISON WITH TWELVE OPERATED CASES IN JAPAN-

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  • 食道切除後リンパ節再発に対する放射線治療が一時的に奏効した食道カルチノイドの1例

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Abstract

An operated patient with carcinoid of the esophagus developed metastases ot the lymph nodes of the neck and mediastinum 15 months and died 21 months after the operation, though the primary lesion invaded the submucosa and had no vasucular invasion (ly0, v0) nor lymphb node metastasis (n0). In this paper we discussed about therapeutic guidelines for esophageal carcinoid based on our experience and other 12 operated cases in Japan.<br> Operated cases of esophageal carcinoid had a poor prognosis. All fatal cases were associated with lymph node metastasis or recurrence. Long surviving factors may include: (1) tumor diameter of less than 2 cm, (2) invasion depth of less than sm, and (3) negative lymph node metastasis.<br> In the treatment, it is important to entertain that the tumor has malignant characteristics equipotant to entertain that the tumor has malignant characteristics equipotent to cancers, and to perform an operation with sufficient lymph node dissection, especially for tumors with a diameter of more than 2 cm. Furethermore, adjuvant therapies such as irradiation and chemotherapy should be considered for tumors with invasion depth of more than sm or with lymph node metastasis.

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