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Esophageal cancer in esophageal diverticula associated with achalasia

Authors
 Ah Ran Choi  ;  Nu Ri Chon  ;  Young Hoon Youn  ;  Hyo Chae Paik  ;  Yon Hee Kim  ;  Hyojin Park 
Citation
 Clinical Endoscopy, Vol.48(1) : 70-73, 2015 
Journal Title
 Clinical Endoscopy 
ISSN
 2234-2400 
Issue Date
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.
Files in This Item:
T201503955.pdf Download
DOI
10.5946/ce.2015.48.1.70
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Hyo Jin(박효진) ORCID logo https://orcid.org/0000-0003-4814-8330
Paik, Hyo Chae(백효채) ORCID logo https://orcid.org/0000-0001-9309-8235
Youn, Young Hoon(윤영훈) ORCID logo https://orcid.org/0000-0002-0071-229X
Chon, Nu Ri(전누리)
Choi, Ah Ran(최아란)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141499
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