A Case of Esophageal Carcinoma of the Diverticulum -A View of 34 Cases in Japanease Literature

Atsushi Adachi, Keijirou Tsutsui, Naofumi Takano and Tetsuji Uchiyama

Department of Surgery, Iwakuni Medical Center Hospital

Esophageal carcinoma of the diverticulum is very rare, and we report only the 35th case of intraesophagodiverticular carcinoma in the Japanease literature. A 75-year-old man with chest pain was found to have esophageal carcinoma of the diverticulum and hospitalized. Upper gastrointestinal series showed protruding lesions in the diverticulum 2.5×2.0 cm in the right wall of the middle thoracic esophagus. Esophagoscopy also showed irregular protruding lesions not dyed by lugol solution in the diverticulum 33 cm from the incisor. Thoracic CT and MRI showed dilation of the esophageal wall in the middle thoracic esophagus but no swelling of the lymph nodes. Blunt digital finger dissection of the esophagus with mediastinoscopy was done due to the patient's age, pulmonary dysfunction, a history of 3 cerebral infarctions and dysphasia. The pathological diagnosis was moderately differentiated squamous cell carcinoma, sm in invasion depth. About the therapy of the intraesophagodiverticular carcinoma we have to think of the difficulty to diagnose of the invasion depth and the easiness to invade due to the thin wall.

Key words
esopageal diverticulum, intraesophagodiverticular carcinoma

Reprint requests
Atsushi Adachi Department of Surgery, Iwakuni Medical Center Hospital
3-6-12 Muranoki-cho, Iwakuni, 740-0021 JAPAN

Accepted
November 26, 2003

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