title: [A case of lymph node metastasis from esophageal small-cell-type endocrine cell carcinoma diagnosed by endoscopic ultrasound-guided fine-needle aspiration].
abstract: A 70-year-old man presented with a 0-IIc lesion in the lower esophagus. He underwent esophageal endoscopic submucosal dissection (ESD). The pathological diagnosis was squamous cell carcinoma with small cell carcinoma. The patient received chemoradiotherapy after ESD, but this was interrupted because of myelosuppression. Follow-up endoscopic ultrasonography (EUS) at 5 months after the ESD revealed paracardial lymph node swelling (17mm). He underwent EUS-guided fine-needle aspiration (FNA), and lymph node metastasis of small-cell-type endocrine cell carcinoma was diagnosed. He received VP-16 chemotherapy but died 22 months after the ESD.
authors.affiliation: Department of Medicine and Bioregulatory Science, Kyushu University, Japan.
authors.forename: Noriko
authors.initials: N
authors.lastname: Tokunaga
authors.forename: Soichi
authors.initials: S
authors.lastname: Itaba
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Nakamura
authors.forename: Mariko
authors.initials: M
authors.lastname: Yamada
authors.forename: Risa
authors.initials: R
authors.lastname: Okamoto
authors.forename: Akira
authors.initials: A
authors.lastname: Aso
authors.forename: Hisato
authors.initials: H
authors.lastname: Igarashi
authors.forename: Hirotada
authors.initials: H
authors.lastname: Akiho
authors.forename: Tetsuhide
authors.initials: T
authors.lastname: Ito
authors.forename: Ryoichi
authors.initials: R
authors.lastname: Takayanagi
authors.forename: Ayako
authors.initials: A
authors.lastname: Goto
mesh_terms: D000368:Aged; D044963:Biopsy, Fine-Needle / Q000379:methods*; D018288:Carcinoma, Small Cell / Q000473:pathology* / Q000556:secondary; D019160:Endosonography; D004938:Esophageal Neoplasms / Q000473:pathology*; D006801:Humans; D008207:Lymphatic Metastasis / Q000473:pathology*; D008297:Male