胸部食道癌術後胃管癌の3例

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  • THREE CASES OF THE STOMACH TUBE FOLLOWING OPERATION FOR CANCER OF THE THORACIC ESOPHAGUS

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We have sugically managed three cases of cancer arising in the reconstructed stomach tube following operation for esophageal caner.<br> Patient 1, a 63-year-old man who had undergone a subtotal esophagectomy with reconstruction by stomach tube via retrosternal route in 1973, was found to have type 3 advanced gastric cancer at the reconstructed stomach tube 9 year after the operation. The patient underwent a distal resection of the stomach tube, but died of local recurrence of stomach tube cancer 2 years and 2 months after second operation. Patient 2, a 62-year-old man who had undergone a subtotal esophagectomy with reconstruction by stomach tube via retrosternal route in 1977, was found to have a IIa+IIc type early gastric cancer at the reconstructed stomach tube 7 year after the operation. A distal resection of the stomach tube was carried out. The patient is still alive as of 4 years after the reoperation. Patient 3 was an 83-year-old woman who had undergone a subtotal esophagectomy with reconstruction by stomach tube via retrosternal route in 1972. Thirteen years later, type IIa early gastric cancer was detected in the reconstructed stomach tube and EMR was performed. The patient is still alive as of 2 years and 6 months after EMR. Two patients who were able to be detected having cancer by screening are living and well without any sign of recurrence. We think that long-term periodic endscopic examinations are mandatory for postoperative patients with esophageal cancer by entertaining the possible occurrence of the stomach tube.

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