Korean J Gastrointest Endosc > Volume 41(4); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(4): 214-218.
황산 음독에 의한 부식성 식도협착으로 수술 후 발생한 식도암 1예
박은서ㆍ이석호ㆍ이창균ㆍ정보용ㆍ정일권ㆍ김선주ㆍ배상병ㆍ이지혜*
순천향대학교 의과대학 천안병원 내과학교실, *병리학교실
A Case of Esophageal Carcinoma after an Esophageal Reconstruction Operation for Sulfuric Acid Injury
Eun Seo Park, M.D., Suck-Ho Lee, M.D., Chang Kyun Lee, M.D., Bo Yong Jung, M.D., Il-Kwun Chung, M.D., Sun-Joo Kim, M.D., Sang Byung Bae, M.D. and Ji-Hye Lee, M.D.*
Departments of Internal Medicine and *Pathology, Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea
Abstract
Patients with corrosive esophageal strictures have a high risk of developing carcinoma of the esophagus. For this reason, it is often recommended that resection of the esophagus should be considered for chronic caustic strictures in order to prevent the development of carcinoma. A 49-year-old woman who had undergone an esophagogastrectomy due to esophageal caustic stricture at the age of 23 was admitted with a 2-month history of dysphagia. Esophagoscopy showed a benign postoperative stricture in the remnant esophagus. After endoscopic balloon dilation of the stricture, which was about 5 cm in length, an ulcerative mass was noted distal to the stricture. This mass was diagnosed as squamous cell carcionoma. Nearly all the patients with corrosive carcinomas in the published literature had consumed an alkali drink, but our patient had a history of sulfuric acid ingestion. (Korean J Gastrointest Endosc 2010;41:214-218)
Key Words: Esophageal carcinoma, Esophageal stenosis, Corrosive esophagitis, Sulfuric acid
주요어: 식도암, 식도 협착, 협착성 식도염, 황산
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