食道静脈瘤上の早期食道癌に対しEVL後ESDを施行した一例

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  • A case of early esophageal cancer on esophageal varices treated by endoscopic submucosal dissection after endoscopic variceal ligation

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<p>The patient was a 78-year-old man who had attended our hospital with alcoholic liver cirrhosis as Child-Pugh classification A.</p><p>Endoscopy showed a red-colored depressed lesion on varices (LmF1CbRc0Lg (-)) of the posterior wall of the middle esophagus.</p><p>Narrow Band Imaging (NBI) with magnified endoscopy showed loop-like irregular vessels (Type B1) in the lesion.</p><p>Pathlogical examination was squamous cell carcinoma (SCC) as a result of the biopsy.</p><p>Endoscopic variceal ligation (EVL) was done for all varices, and the oral side of EVL was carried out about 1.5 cm away from the anal side of the lesion.</p><p>One week after EVL, endoscopic submucosal dissection (ESD) was performed without severe complications.</p><p>Histopathologically, tumor was diagnosed as SCC, Type 0-IIc, 16×18 mm, pT1a-EP, ly0, v0, pHM0, pVM0.</p><p>EVL that precedes ESD could be useful and safety for endoscopic therapy of early esophageal cancer on esophageal varices.</p>

収録刊行物

  • Progress of Digestive Endoscopy

    Progress of Digestive Endoscopy 100 (1), 77-79, 2022-06-30

    一般社団法人 日本消化器内視鏡学会 関東支部

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