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A CASE OF BASALOID-SQUAMOUS CARCINOMA OF THE ESOPHAGUS

1999; Japan Surgical Association; Volume: 60; Issue: 6 Linguagem: Inglês

10.3919/jjsa.60.1533

1882-5133

Hirotoshi Akiyama, Chikara Kunisaki, Yasushi Ichikawa, Hitoshi Sekido, Shinji Togo, Hiroshi Shimada,

Salivary Gland Tumors Diagnosis and Treatment

We experienced a case of basaloid-squamous carcinoma of the esophagus. A 61-year-old man was admitted to the hospital for the purpose of operation for intrathoracic carcinoma which was diagnosed at another hospital. Esophagography revealed a region at ImEi, and endscopy demonstrated an evevated lesion 6.5cm in longer diameter on the anterior wall of the esophagus 35cm from the incisors. A basaloid-squamous carcinoma was diagnosed by a biopsy and a total thoracic esophagectomy was performed. The resected material showed a 6.5×2.0cm type 1 lesion with an uneven surface. The histopathological diagnosis was basaloid-squamous carcinoma of the esophagus, with a stage grouping of a 2 n 1 M 0 Pl 0, stage III. Postoperative recombinant chemotherapy with adriamycin and 5-fluorouracil was conducted. The patient is doing well as of seven months after the surgery. About 54 cases of this carcinoma have been reported in Japan. Basaloid-squamous carcinoma of the esophagus has been reported to have poor prognosis on the whole, but the patients with the disease in early stage (superficial cancer type) have been known to have less lymph node metastasis with consequent long-term survival. We think that improvement in prognosis can be expected by early detection and therapy.