A Case with Lower Esophageal Carcinoma of which Cerebral Metastasis was Surgically Removed before Resection of the Primary Tumor

概要

論文の詳細を見る
The patient (57 years old, male) was admitted to the hospital with chief complaint of dysphagia. X-ray fluoroscopy revealed that he had carcinoma of lower esophagus of about 11cm long. The primary tumor of esophagus was irradiated by exposing of 300R per day to 60Co before operation. When total quantity of irradiation reached 3900R, his complaint was almost disappeared and the size of the primary tumor silhouette in the X-ray film became extremely small.When the schedule of irradiation to the primary tumor was almost finished, the patient suddenly had mortor disturbance of the left side of the body. Neurological examination revealed the patient might have a cerebral lesion at antero-temporal area which might be caused by metastatic tumor.The neurological symtoms were completely disappeared by surgical removal of the metastatic tumor from the cerebrum. On 30 days after craniotomy, the primary tumor of the lower esophagus was resected by means of right side thoracotomy. The end of the resected esophagus was anastomosed with stomach in the thorax. Histological finding of both tumors of cerebrum and esophagus was"adenocarcinoma tubulare".Any paper reporting that cerebral tumor metastasized from esophagus or stomach was surgically resected can not be found in Japan. In most of cases with carcinoma of esophagus or stomach, lymphnode and/or organs being close to the primary tumor might be so strongly affected by metastasis that the physical condition of the patients with cerebral metastasis could not be kept good enough for craniotomy.
財団法人日本消化器病学会の論文

A Case with Lower Esophageal Carcinoma of which Cerebral Metastasis was Surgically Removed before Resection of the Primary Tumor

スポンサーリンク

概要

著者

関連論文

スポンサーリンク