食道異型上皮，表在扁平上皮癌に対するアルゴンプラズマ凝固法についての検討

• 太田 正穂

  東京女子医科大学消化器外科

• 中村 務

  東京女子医科大学消化器外科

• 林 和彦

  東京女子医科大学消化器外科

• 内田 数海

  東京女子医科大学消化器外科

• 成宮 孝祐

  東京女子医科大学消化器外科

• 大木 岳志

  東京女子医科大学消化器外科

• 佐藤 拓也

  東京女子医科大学消化器外科

• 山本 雅一

  東京女子医科大学消化器外科

書誌事項

タイトル別名

• ARGON PLASMA COAGULATION FOR SUPERFICIAL SQUAMOUS CELL CARCINOMA AND DYSPLASIA OF THE ESOPHAGUS

抄録

The efficacy of argon plasma coagulation (APC) for superficial squamous cell carcinoma and dysplasia of the esophagus was investigated. Twenty-nine patients (31 lesions) with primary superficial squamous cell carcinoma and dysplasia of the esophagus were treated by APC. First, the extent of the lesion was confirmed by conventional endoscopy and iodine staining. Second, marking of the edge of the lesion by APC probe and biopsy was performed. Then, APC treatment was performed. Repeated APC was done if recurrence or a residual lesion was confirmed by follow up endoscopy. Twenty-one superficial carcinomas and 10 areas of dysplasia were treated. The average lesion diameter was 17.4 mm (5-40mm) and the average number of APC treatments was 1.3 (1-4). There were no severe complications. The average duration of follow-up was 17.4 months. Although recurrence or residual lesions were found in 5 patients, repeated APC achieved control in all of them. It seems that APC can be used safely to treat superficial squamous cell carcinoma and dysplasia of the esophagus. APC can be repeated multiple times, if necessary. Follow-up is needed after APC, because some cases of recurrence were experienced.

収録刊行物

• 日本消化器内視鏡学会雑誌

  日本消化器内視鏡学会雑誌 50 (3), 369-373, 2008

  一般社団法人 日本消化器内視鏡学会

キーワード

• 食道腫瘍/食道表在癌/食道異型上皮/アルゴンプラズマ凝固(APC)

詳細情報

• CRID: 1390001204217079680
• NII論文ID: 130004255165
• NII論文ID: 10021272278
• NII書誌ID: AN00192102
• DOI: 10.11280/gee1973b.50.369
• ISSN: 18845738
• ISSN: 03871207
• Web Site: https://search.jamas.or.jp/link/ui/2008179523
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可