Korean J Gastrointest Endosc > Volume 37(6); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(6): 413-418.
토혈로 발현된 식도와 십이지장에 병발한 중복암 1예
김영호ㆍ서찬희ㆍ이무열
왈레스기념 침례병원 내과
A Case of Double Primary Cancer of the Esophagus and Duodenum that Induced Hematemesis
Young Ho Kim, M.D., Chan Hee Seo, M.D. and Moo Yeol Lee, M.D.
Department of Internal Medicine, Wallace Memorial Baptist Hospital, Busan, Korea
Abstract
The occurrence of double primary cancer of the esophagus and duodenum is considered to be very rare. Moreover, it is difficult to manage this type of double cancer because esophageal cancer has a biologic tendency towards early metastasis. Yet the development of endoscopy such as endoscopic ultrasonography (EUS), the new diagnostic imaging modalities such as PET/CT and advanced pathologic interpretation can lead to an early diagnosis of these multiple primary neoplasms. Appropriate intervention with various therapeutic tools then becomes possible, so these multiple primary neoplasms are not currently obstinate problems. We experienced one patient with double primary cancer; we simultaneously found esophageal cancer and duodenal cancer via endoscopy, and we wanted to treat them with chemo- radiation therapy and endoscopic submucosal dissection, but we failed to persuade the patient to accept the treatment. (Korean J Gastrointest Endosc 2008;37:413-418)
Key Words: Multiple primary neoplasms, Esophageal cancer, Duodenal cancer, Endoscopic ultrasonography, PET/CT
주요어: 원발성 중복암, 식도암, 십이지장암, 내시경초음파, PET/CT
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