A case of well-differentiated squamous cell carcinoma that was difficult to distinguish from candida esophagitis

  • Momose Nana
    Department of Gastroenterological Surgery, Tokai University Hachioji Hospital
  • Yamamoto Soichiro
    Department of Gastroenterological Surgery, Tokai University Hachioji Hospital
  • Makuuchi Hiroyasu
    Department of Gastroenterological Surgery, Tokai University Hachioji Hospital
  • Abe Rin
    Department of Gastroenterological Surgery, Tokai University Hachioji Hospital
  • Ueda Yasuhiko
    Department of Gastroenterological Surgery, Tokai University Hachioji Hospital
  • Funaki Yuu
    Department of Gastroenterological Surgery, Tokai University Hachioji Hospital
  • Yoshii Hisamichi
    Department of Gastroenterological Surgery, Tokai University Hachioji Hospital
  • Machida Takashi
    Department of Gastroenterological Surgery, Tokai University Hachioji Hospital
  • Uda Shuji
    Department of Gastroenterological Surgery, Tokai University Hachioji Hospital
  • Higami Shigeo
    Department of Emergency medicine, Tokai University Hachioji Hospital
  • Hasegawa Sayuri
    Department of Gastroenterological Surgery, Tokai University Hachioji Hospital
  • Izumi Hideki
    Department of Gastroenterological Surgery, Tokai University Hachioji Hospital
  • Kayano Hajime
    Department of Gastroenterological Surgery, Tokai University Hachioji Hospital
  • Mukai Masaya
    Department of Gastroenterological Surgery, Tokai University Hachioji Hospital
  • Nomura Eiji
    Department of Gastroenterological Surgery, Tokai University Hachioji Hospital

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Other Title
  • 食道カンジダ症との鑑別が困難であった高分化型扁平上皮癌の一例

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Abstract

<p>The patient was a woman in her 60s. A lesion was pointed out by esophagography at a health checkup. Endoscopy showed a white granular elevated lesion at 34 to 40 cm from the incisor teeth. Since she was initially diagnosed with candida esophagitis, antifungal drug was administered but no change was observed. Six years later, endoscopic examination showed morphological changes in the lesion, and it was diagnosed as 0-IIc-type early esophageal cancer. Endoscopic mucosal resection was performed, and it was pathologically diagnosed as pT1a-MM, ly0, v0. The tumor may have originally existed under the keratinized epithelium. Or cancer may have been caused by prolonged chronic inflammation such as reflux esophagitis.</p>

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