膵癌に合併した食道平滑筋腫

概要

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A case of a large leiomyoma of the esophagus associated with pancreatic carcinoma was reported. The patient was 75 year-old man, who was admitted to the hospital with the chief complaint of hemosputum and a tumor on the right anterior thorax. At the time, a hard tumor of little finger size was found on the left neck. Chest x-ray film showed abnormal shadow in the right upper lung field and it was diagnosed as lung carcinoma. The tumor on the thorax and the shadow of the right lung disappeared after radiation therapy (4000 rad) .And then, he complained of dysphagia and a tumor like shadow was revealed by esophageal examination with Ba-meal. Though this tumor was irradiated 4000 rad, its radiation response was scarcely found. He died from weakness following dysphagia and abdominal pain. Pathologic anatomically, tumor of the neck was neurinoma, tumors in the right upper lung and on the right anterior thorax were diagnosed as metastasis of pancreatic carcinoma. The tumor of the esophagus was histopathologically diagnosed as benign leiomyoma. Genellary, as well as other reports, esophageal leiomyoma associated with malignant tumor is difficult to diagnose clinically, even in using x-ray and radioisotopic examinations. Cautious reading of x-ray films and clinical observation are important to the patient with double or triple tumors.
学校法人昭和大学・昭和医学会の論文