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Treatment for esophageal malignant tumor without squamous cell carcinoma

机译:食管恶性肿瘤无鳞状细胞癌的治疗

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A 64-year-old woman with dysphagia and chest pain underwent screening esophagogastroduodenoscopy (EGD) at a previous hospital. Initial EGD found a pigmented, polypoidal tumor at 31-35 cm from the upper incisors (Fig. 1). Biopsy at the previous hospital confirmed the diagnosis of malignant melanoma. A CT scan showed wall thickening of the lower thoracic esophagus that did not extend outside the esophageal wall. There were swollen abdominal lymph nodes (Fig. 2). Fluorodeoxyglucose-PET (FDG-PET) scans revealed no signs of distant metastasis. The physical examination was normal and revealed no skin lesions. The final clinical diagnosis was primary malignant melanoma of the esophagus, cTlb, cNl, cStage II according to the Japanese Classification of Esophageal Carcinoma.
机译:一名患有吞咽困难和胸痛的64岁妇女在先前医院接受了食管胃十二指肠镜检查(EGD)。最初的EGD在距上门牙31-35 cm处发现色素沉着的息肉状肿瘤(图1)。先前医院的活检证实了恶性黑色素瘤的诊断。 CT扫描显示下胸部食管壁增厚,未延伸至食管壁外。腹部淋巴结肿大(图2)。氟脱氧葡萄糖-PET(FDG-PET)扫描显示无远处转移迹象。体格检查正常,未发现皮肤病变。根据日本食管癌分类,最终的临床诊断为食道原发性恶性黑色素瘤,cTlb,cNl,cStage II。

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