Abstract:
:Some esophageal diseases such as carcinoma, esophagitis, and collagen diseases have often been reported to show a diffusely thickened esophageal wall in the roentogenogram findings. In the current report, a preoperative upper gastrointestinal series and an endoscopic examination showed a diffusely infiltrative type carcinoma, but other examinations did not suggest any diseases such as esophagitis or collagen diseases which might cause a thickening of the esophageal wall or a constriction of the esophagus. A postoperative histological examination revealed the primary carcinoma to remain only within the mucosal layer, while a large degree of lymphatic vessel permeation reached the adventitia over a wide area. An extraordinary degree of lymphatic permeation spread through the esophageal wall, and stromal fibrosis developed as a result of such lymphatic permeation. These histological phenomena might thus have led to the macroscopic appearance of infiltrative type esophageal carcinoma.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Kawaguchi H,Kuwano H,Araki K,Egashira A,Saeki H,Ohga T,Morita M,Kitamura K,Sugimachi Kdoi
10.1007/BF02482350subject
Has Abstractpub_date
1999-01-01 00:00:00pages
545-8issue
6eissn
0941-1291issn
1436-2813pii
10.1007/BF02482350journal_volume
29pub_type
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