Cited 2 times in

Esophageal cancer in esophageal diverticula associated with achalasia

Title
Esophageal cancer in esophageal diverticula associated with achalasia
Authors
Ah Ran Choi;Nu Ri Chon;Hyojin Park;Yon Hee Kim;Hyo Chae Paik;Young Hoon Youn
Issue Date
2015
Journal Title
Clinical Endoscopy
ISSN
2234-2400
Citation
Clinical Endoscopy, Vol.48(1) : 70~73, 2015
Abstract
The simultaneous occurrence of achalasia and esophageal diverticula is rare. Here, we report the case of a 68-year-old man with multiple esophageal diverticula associated with achalasia who was later diagnosed with early esophageal cancer. He initially presented with dysphagia and dyspepsia, and injection of botulinum toxin to the lower esophageal sphincter relieved his symptoms. Five years later, however, the patient presented with worsening of symptoms, and esophagogastroduodenoscopy (EGD) was performed. The endoscopic findings showed multifocal lugol-voiding lesions identified as moderate dysplasia. We decided to use photodynamic therapy to treat the multifocal dysplastic lesions. At follow-up EGD 2 months after photodynamic therapy, more lugol-voiding lesions representing a squamous cell carcinoma in situ were found. The patient ultimately underwent surgery for the treatment of recurrent esophageal multifocal neoplasia. After a follow-up period of 3 years, the patient showed a good outcome without symptoms. To manage premalignant lesions such as achalasia with esophageal diverticula, clinicians should be cautious, but have an aggressive approach regarding endoscopic surveillance.
URI

http://ir.ymlib.yonsei.ac.kr/handle/22282913/141499
DOI
10.5946/ce.2015.48.1.70
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
1. 연구논문 > 1. College of Medicine > Dept. of Thoracic & Cardiovascular Surgery
Yonsei Authors
사서에게 알리기
  feedback
Files in This Item:
T201503955.pdfDownload
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse