A case of a superficial carcinoma of the esophagus with isolated lymph node metastasis around the abdominal aorta.
A case of a superficial carcinoma of the esophagus with isolated lymph node metastasis around the abdominal aorta.
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浅表性食管癌伴腹主动脉周围孤立性淋巴结转移一例。
DOI：
10.1007/s00595-012-0148-2
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发表时间：
2012
期刊：
影响因子：
2.5
通讯作者：
et al.
中科院分区：
文献类型：
--
作者：
Hatakeyama T;Shiozaki A;Kokuba Y;Otsuji E;et al.
浅表性食道癌合并孤立性腹主动脉旁淋巴结转移是相当罕见的。一名56岁女性在内窥镜检查中发现胸中段食管0-IIa+IIb型病变。增强计算机断层扫描和正电子发射断层扫描显示下腔静脉右侧有两个肿大的淋巴结，但没有显示原发性病变或区域淋巴结转移。因此，进行腹膜后电视镜淋巴结活检，组织病理学诊断为鳞状细胞癌转移。诱导化疗采用顺铂/5-FU，然后进行确定性放化疗，顺铂/5-FU加60戈伊。患者在原发性和转移性病灶中均显示出令人满意的反应。这是第一个病例报告描述浅表性食管癌与孤立的淋巴结转移周围腹主动脉。在这种情况下，准确的淋巴结组织学诊断是非常重要的，并且可以预期适当的治疗效果。
Superficial carcinoma of the esophagus with isolated para-aortic lymph node metastasis is quite rare. A 56-year-old female demonstrated a type 0-IIa+IIb lesion in the middle thoracic esophagus on endoscopic examination. Enhanced computed tomography and positron emission tomography demonstrated two swollen lymph nodes on the right side of the inferior vena cava, but did not demonstrate either a primary lesion or regional lymph node metastasis. A retroperitoneal videoscopic lymph node biopsy was thus performed, and the histopathological diagnosis was metastasis of squamous cell carcinoma. Induction chemotherapy was administered with cisplatin/5-FU, and followed by definitive chemoradiotherapy with cisplatin/5-FU plus 60 Gy radiation. The patient showed satisfactory responses in both the primary and metastatic lesions. This is the first case report describing superficial carcinoma of the esophagus with isolated lymph node metastasis around the abdominal aorta. A precise histological diagnosis of the lymph node is quite important in such cases, and an adequate curative effect can be expected.