Lymph node metastases identified with mediastinoscopy in a patient with superficial carcinoma of the esophagus
Lymph node metastases identified with mediastinoscopy in a
patient with superficial carcinoma of the esophagus
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浅表性食管癌患者纵隔镜检查发现淋巴结转移
DOI：
10.1007/s004640001026
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
M. Oka
中科院分区：
文献类型：
--
作者：
A. Tangoku;H. Hayashi;S. Kanamura;S. Yoshino;T. Abe;Y. Yoshimoto;T. Morioka;M. Oka
局限于固有层的浅表食管癌与淋巴结转移无关。计划对一名患有广泛的胸中部食管浅表癌的患者进行纵隔镜经膈食管切除术。上纵隔淋巴结取样发现转移。手术改为经胸食管切除术和根治性淋巴结清扫术。切除标本的组织病理学检查显示三个转移性淋巴结，尽管局部侵犯仅限于固有层。这是首例浅表食管癌淋巴结转移患者的报告。
Superficial esophageal cancers limited to the lamina propria are not associated with lymph node metastases. Mediastinoscopic transhiatal esophagectomy was planned in a patient with widespread superficial cancer of the midthoracic esophagus. Sampling of the upper mediastinal lymph nodes revealed metastases. The operation was converted to a transthoracic esophagectomy with radical lymphadenectomy. Histopathologic examination of the resection specimen showed three metastatic lymph nodes, despite local invasion limited to the lamina propria. This is the first report of a patient with superficial esophageal cancer and lymph node metastases.