Korean Journal of Gastrointestinal Endoscopy 1994;14(3): 349-356.
증례 : 항암화학요법과 방사선 병합요법으로 완전관해를 보인 위분문부로 벽내전이된 식도암 1예 ( Case Reports : A Case of Esophageal Cancer Showing Intramural Metastasis to the Stomach in Complete Remission with Preoperative Chemoradiotherapy )
육은주, 임의혁, 성자원, 김병호, 이헌영, 김영건, 김성걸, 김진희, 정현용 (Eun Ju Yook, Euyi Hyeog Im, Ja Won Sung, Byeong Ho Kim, Heon Young Lee, Young Kun Kim, Seong Gul Kim, Jin Hee Kim and Hyun Yong Jung)
Abstract
Esophageal carcinoma is a rare malignant neoplasm consisting of about 1.5% of the whole gastrointestinal tract neoplasm and has poor prognosis of which survival rate is below 5%. The squamous cell carcinoma of the esophagus could be multicentric in character and may have occured in 9.5-27% of incidence. The most common site is head and neck region. The metastasis of esophageal carcinoma occur through hematogenous, lymphatic spread, direct invasion and rarely intramural metastasis. Of theses, intramural metastasis has been occured in 7-14.3% of incidence and its presence has been regared to poor prognostic factor due to early regional or distant metastasis. Surgery, chemotherapy, radiotherapy alone or combination of these has been used as treatment modalities of esophageal cancer, but combination chemoradiotherapy with or without op- eration is prefered method than other at present. Authors report a case of esophageal carcinoma showing intramural metastasis to the gastric wall, which had the complete remission with preoperative chemoradiotherapy.
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