[Two cases of cancerization of esophageal stenosis due to a caustic burn].
The incidence of carcinoma of the esophagus within patients with chronic esophageal stricture caused by ingestion of corrosive agents is reported to be significantly higher than in the general population. Two patients developped carcinoma of the esophagus respectively 25 and 40 years after corrosive injury. One of these patients had initially gastrostomy and repeated esophagal dilation. Taking into account the high incidence of carcinoma in the site of esophageal stricture, we conclude that the resection of the esophagus is indicated in patients with chronic caustic stricture if there is any finding suggestive of malignancies such as a long duration of the lesions more than 20 years particulary when the ingested agent was caustic soda or sudden aggravation of preexisting dysphagia.
Ben Temime
Lassaad
L
Service de Chirurgie A, CHU Charles Nicolle, Tunis.
Marrakchi
Mounir
M
Moussi
Amir
A
Abdesselem
Med El Morched
Mel M
Ferjaoui
Mohamed
M
Zaouche
Abdeljellil
A
D000328:Adult; D002057:Burns, Chemical / Q000150:complications*; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D002424:Caustics / Q000009:adverse effects*; D002908:Chronic Disease; D003680:Deglutition Disorders / Q000209:etiology; D004106:Dilatation; D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004940:Esophageal Stenosis / Q000139:chemically induced* / Q000150:complications* / Q000628:therapy; D004945:Esophagoscopy; D005260:Female; D006801:Humans; D008875:Middle Aged; D013902:Radiography, Thoracic; D013997:Time Factors; D014057:Tomography, X-Ray Computed
D002424:Caustics