Journal of Okayama Medical Association
Published by Okayama Medical Association

Full-text articles are available 3 years after publication.


前田 直見 岡山大学病院 消化管外科
白川 靖博 岡山大学病院 消化管外科
國府島 健 岡山大学病院 消化管外科
大原 利章 岡山大学病院 消化管外科
田邊 俊輔 岡山大学病院 消化管外科
野間 和広 岡山大学病院 消化管外科
櫻間 教文 岡山大学病院 消化管外科
藤原 俊義 岡山大学病院 消化管外科
Thumnail 126_45.pdf 3.44 MB
 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.
悪性黒色腫(malignant melanoma)
症例報告 (Case Reports)