Esophageal carcinoma showing a long stricture due to prominent lymphatic permeation: report of a case.
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.
Kawaguchi
H
H
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Kuwano
H
H
Araki
K
K
Egashira
A
A
Saeki
H
H
Ohga
T
T
Morita
M
M
Kitamura
K
K
Sugimachi
K
K
D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D004938:Esophageal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D004940:Esophageal Stenosis / Q000209:etiology*; D006801:Humans; D008208:Lymphatic System / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D011859:Radiography