A successful procedure of surgery combined with preoperative irradiation for lung carcinoma infiltrating into the esophagus.

概要

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Lung carcinoma infiltrating into the esophagus has been considered hardly resectable. In fact, there has been no case report of successful surgical intervention for lung carcinoma invading of the esophagus.Recently, a 64-year-old man who presented himself with dysphagia due to direct extension of lung carcinoma into the esophagus, was operated on in our department. A preoperative barium esophagram revealed narrowing of the esophagus with normal mucosa. Therefore, pneumonectomy could be performed for removal of the tumor and esophagomyotomy could be made for release from stenosis of the esophagus after intensive irradiation.Dysphagia disappeared and there is no recurrence for four months after the treatment.A combination of both esophagomyotomy and adjuvant irradiation is advisable in case with lung carcinoma infiltrating into the esophagus to release from stenosis of the esophagus, because this procedure is of lower surgical risk with fewer postoperative complications than combined resection of the esophagus with the lung.
特定非営利活動法人日本気管食道科学会の論文