A Case of Esophageal Cancer Diagnosed as Myotonic Dystrophy from Postoperative Clinical Course

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  • YAJIMA Satoshi
    Division of General and Gastroenterological Surgery, Department of Surgery (Omori), School of Medicine, Faculty of Medicine, Toho University
  • OSAKU Tadatoshi
    Division of General and Gastroenterological Surgery, Department of Surgery (Omori), School of Medicine, Faculty of Medicine, Toho University
  • KAGAMI Satoru
    Division of General and Gastroenterological Surgery, Department of Surgery (Omori), School of Medicine, Faculty of Medicine, Toho University
  • OSHIMA Yoko
    Division of General and Gastroenterological Surgery, Department of Surgery (Omori), School of Medicine, Faculty of Medicine, Toho University
  • IKEDA Ken
    Division of Neurology, Department of Internal Medicine (Omori), School of Medicine, Faculty of Medicine, Toho University
  • NEMOTO Tetsuo
    Department of Surgical Pathology (Omori), School of Medicine, Faculty of Medicine, Toho University
  • SHIMADA Hideaki
    Division of General and Gastroenterological Surgery, Department of Surgery (Omori), School of Medicine, Faculty of Medicine, Toho University
  • KANEKO Hironori
    Division of General and Gastroenterological Surgery, Department of Surgery (Omori), School of Medicine, Faculty of Medicine, Toho University

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Other Title
  • 術後経過から筋緊張性ジストロフィー症と診断された食道癌の1例
  • 症例 術後経過から筋緊張性ジストロフィー症と診断された食道癌の1例
  • ショウレイ ジュツゴ ケイカ カラ キン キンチョウセイ ジストロフィーショウ ト シンダン サレタ ショクドウ ガン ノ 1レイ

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Abstract

We have experienced a case of esophageal cancer in which neuromuscular disease was first suspected after surgery for esophageal cancer from postoperative manifestations such as difficulty in expectorating, dysphagia and progressive muscle weakness, and eventually myotonic dystrophy (MyD) was diagnosed. This patient had a variety of clinical features including previous history of undergoing surgery for lung cancer, pectus excavatum, hyperammonemia induced by 5-fluorouracil (5-FU), perioperatively occurred impairment of respiratory function and dysphagia. The patient passed away from pneumonia that might be caused by progressing muscular atrophy, as of 16 months after the operation.<BR>It is well known that MyD is associated with various benign and/or malignant tumors, but reports on MyD patients operated on for associated esophageal cancer have been few so far.

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