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

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  • Okada Yuta
    Department of Gastroenterology, Itabashi Medical Association Hospital
  • Uno Akitake
    Department of Gastroenterology, Itabashi Medical Association Hospital
  • Yamakawa Shun
    Department of Gastroenterology, Itabashi Medical Association Hospital
  • Takada Kiyoko
    Department of Surgery, Itabashi Medical Association Hospital
  • Kuritou Katsumi
    Department of Surgery, Itabashi Medical Association Hospital
  • Kinukawa Noriko
    Department of Pathology, Itabashi Medical Association Hospital

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  • 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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Abstract

<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>

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