Journal of Okayama Medical Association
Published by Okayama Medical Association

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Full-text articles are available 3 years after publication.

食道原発悪性黒色腫の1切除例

Maeda, Naoaki
Koujima, Takeshi
Ohara, Toshiaki
Tanabe, Shunsuke
Sakurama, Kazuhumi
Thumnail 126_45.pdf 3.44 MB
Abstract
 We report the case of a 61-old-man with a primary malignant melanoma of the esophagus, an extremely rare and highly aggressive malignancy. He presented with dysphagia, and we performed an upper gastrointestinal endoscopy that detected a tumor in the thoracic part of the esophagus. The biopsy showed malignant melanoma. PET/CT, endoscopy and an esophagogram showed that a 70-mm scaled type 2+1 tumor in the thoracic esophagus and no metastases. We diagnosed a cT3cN0cM0 cStage II tumor. We then performed a subtotal esophagectomy with two-field lymph node dissection and esophagogastrostomy via a retrosternal route. The pathological examination of the resected specimens confirmed that the type 2+1 tumor was PMME (pT2N0M0 pStage II). We administered six courses of postoperative adjuvant chemotherapy with dacarbazine, and the patient has had no recurrence for 17 months after the surgery.
Keywords
食道(esophagus)
悪性黒色腫(malignant melanoma)
Note
症例報告 (Case Reports)
ISSN
0030-1558
NCID
AN00032489
DOI