Korean Journal of Gastrointestinal Endoscopy 2010;41(5): 298-302.
식도 정맥류를 동반한 간경변 환자에서 광역동 치료로 호전된 조기 식도암 1예
정윤영ㆍ정우철ㆍ장우임ㆍ옥주현ㆍ정연오ㆍ김민주ㆍ백창렬ㆍ이강문
가톨릭대학교 의과대학 성빈센트병원 내과학교실
A Case of Early Esophageal Cancer Treated by Photodynamic Therapy in a Patient with Liver Cirrhosis Accompanied by Esophageal Varix
Yoon Yung Chung, M.D., Woo Chul Chung, M.D., U-Im Chang, M.D., Ju Hyun Oak, M.D., Yeon Oh Jeong, M.D., Min Ju Kim, M.D., Chang Nyol Paik, M.D. and Kang-Moon Lee, M.D.
Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine, Suwon, Korea
Abstract
Photodynamic therapy (PDT) is a non-invasive treatment for cancer that works through a photochemical effect after the administration of a photosensitizer. At first, PDT had been used for the relief of obstructive symptoms caused by exophytic esophageal cancer or for control of tumor overgrowth. Recently, several investigators have reported the use of PDT in early esophageal cancer with encouraging results. This report describes a case of a 52-year-old man with early esophageal cancer, who had a long history of liver cirrhosis with esophageal varix. The patient was treated successfully with PDT using porfimer sodium as the photosensitizer. PDT is an alternative to surgical treatment of early esophageal cancer, especially in patients with liver cirrhosis. (Korean J Gastrointest Endosc 2010;41:298-302)
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