胸頸境界部食道癌の1治験例

概要

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A 49-year-old male with cervico-thoracic esophageal carcinoma was reported. The spread of the carcinoma was from upper margine level of the cricoid cartilage to mammilary line level of the thoracic esophagus with infiltration to the left lobe of the thyroid gland. Fortunately the carcinoma involved only mucous and submucous layer of the esophagus at the lower part.We successfully could get good local control with following treatment.1. Preoperative irradiation.2. Non curative pharyngo-laryngo-esophagectomy with en bloc resection of the left thyroid gland and adhesive tracheal wall without one stage reconstruction.3. Post operative irradiation to the residual carcinoma under direct visual control from the esophageal stoma.4. Secondary cervical esophagus reconstruction using the skin tube after confirmation of disappearance of the carcinoma.
社団法人日本耳鼻咽喉科学会の論文