食道類基底細胞癌の1例

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  • A CASE OF BASALOID CELL CARCINOMA OF THE ESOPHAGUS

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Most cancers of the esophagus are squamous cell carcinoma. We experienced a case of basaloid cell carcinoma of the intrathoracic esophagus.<br> A 62-year-old man, who had been treated for alcoholic cirrhosis and esophageal varices at the department of internal medicine in our hospital, was found out having an elevated tumor 2cm in longer diameter in Ei by barium meal study and esophagoscopy. With biopsy of the lesion, a squamous cell carcinoma of the esophagus was suspected. Under left thoracotomy and laparotomy, resection of the lower esophagus and upper portion of the stomach, splenectomy, and esophagogastrostomy were carried out. The tumor was Ao, N(-), Mo, and Plo, and the operation resulted in curative resection.<br> The resected tumor was 2.2×1.5cm in size, and well demarcated and protruded. Histologically, basaloid cell carcinoma was confirmed. The tumor infiltrated into the submucosal layer without lymph node metastasis.<br> Postoperative course was uneventful and the patient was discharged from the hospital one month after the operation. The patient is doing well eight months after the surgery.

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