Esophageal carcinoma showing a long stricture due to prominent lymphatic permeation: Report of a case

Hidetoshi Kawaguchi, Hiroyuki Kuwano, Koshi Araki, Akinori Egashira, Hiroshi Saeki, Takefumi Ohga, Masaru Morita, Kaoru Kitamura, Keizo Sugimachi

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Abstract

Some esophageal diseases such as carcinoma, esophagitis, and collagen diseases have often been reported to show a diffusely thickened esophageal wall in the roentogenogram findings. In the current report, a preoperative upper gastrointestinal series and an endoscopic examination showed a diffusely infiltrative type carcinoma, but other examinations did not suggest any diseases such as esophagitis or collagen diseases which might cause a thickening of the esophageal wall or a constriction of the esophagus. A postoperative histological examination revealed the primary carcinoma to remain only within the mucosal layer, while a large degree of lymphatic vessel permeation reached the adventitia over a wide area. An extraordinary degree of lymphatic permeation spread through the esophageal wall, and stromal fibrosis developed as a result of such lymphatic permeation. These histological phenomena might thus have led to the macroscopic appearance of infiltrative type esophageal carcinoma.

Original languageEnglish
Pages (from-to)545-548
Number of pages4
JournalSurgery today
Volume29
Issue number6
DOIs
Publication statusPublished - Jan 1 1999

All Science Journal Classification (ASJC) codes

  • Surgery

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    Kawaguchi, H., Kuwano, H., Araki, K., Egashira, A., Saeki, H., Ohga, T., Morita, M., Kitamura, K., & Sugimachi, K. (1999). Esophageal carcinoma showing a long stricture due to prominent lymphatic permeation: Report of a case. Surgery today, 29(6), 545-548. https://doi.org/10.1007/BF02482350