A Case of Dysphagia During the Course of Lung Cancer and Strong Suspicion of Esophageal Metastasis
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- Komuta Kiyohide
- Department of Thoracic Oncology, Osaka Habikino Medical Center
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- Tanabe Hidetaka
- Department of Thoracic Oncology, Osaka Habikino Medical Center
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- Yamauchi Keijiro
- Department of Thoracic Oncology, Osaka Habikino Medical Center
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- Yokoyama Masashi
- Department of Thoracic Oncology, Osaka Habikino Medical Center
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- Okada Hideyasu
- Department of Thoracic Oncology, Osaka Habikino Medical Center
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- Yanase Takafumi
- Department of Thoracic Oncology, Osaka Habikino Medical Center
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- Hosono Yuki
- Department of Thoracic Oncology, Osaka Habikino Medical Center
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- Sato Shingo
- Department of Thoracic Oncology, Osaka Habikino Medical Center
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- Morishita Naoko
- Department of Thoracic Oncology, Osaka Habikino Medical Center
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- Suzuki Hidekazu
- Department of Thoracic Oncology, Osaka Habikino Medical Center
Bibliographic Information
- Other Title
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- 肺癌経過中に嚥下困難を認め,食道転移が強く疑われた1例
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Description
<p>Background. Esophageal metastasis from lung cancer is a rare clinical status. Case. A 60-year-old man had received chemotherapy since February X for lung adenocarcinoma cT1bN3M1a, stage IVA. During chemotherapy, he complained dysphagia but did not show any abnormal findings on eating and swallowing screening tests. Computed tomography (CT) revealed no compressive extrinsic tumors outside the esophageal wall. The symptoms subsequently progressed, so esophagography was performed. Findings showed stenosis at the mid-esophagus. CT was reinvestigated, indicating a thickened esophageal wall along with worsening lung cancer. Upper gastrointestinal endoscopy showed all-around narrowing with normal mucosa. We diagnosed the dysphagia as being due to esophageal metastasis of lung cancer based on the clinical course and these findings. At the time of the diagnosis of esophageal metastasis, the patient was already in a poor general condition, and it was difficult to change the anticancer drug treatment or local therapy, so a policy of palliative treatment was adopted. Conclusion. When dysphagia occurs during the course of lung cancer, even if no compressive extrinsic tumor or abnormalities on a swallowing screening test are noted, the possibility of lung cancer esophageal metastasis should be considered, and further investigation should be performed in cooperation with other medical professions.</p>
Journal
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- Haigan
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Haigan 64 (2), 102-106, 2024-04-20
The Japan Lung Cancer Society
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Keywords
Details 詳細情報について
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- CRID
- 1390862864957949056
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- ISSN
- 13489992
- 03869628
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed