Esophageal carcinoma showing a long stricture due to prominent lymphatic permeation: report of a case.

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 Today

journal_title

Surgery today

authors

Kawaguchi H,Kuwano H,Araki K,Egashira A,Saeki H,Ohga T,Morita M,Kitamura K,Sugimachi K

doi

10.1007/BF02482350

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

545-8

issue

6

eissn

0941-1291

issn

1436-2813

pii

10.1007/BF02482350

journal_volume

29

pub_type

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