Esophagus

, Volume 12, Issue 3, pp 263–266 | Cite as

A case of superficial esophageal squamous cell carcinoma invading the lamina propria mucosa with a metastatic lymph node along the celiac artery

  • Kiyonori Tanoue
  • Hiroshi Okumura
  • Yasuto Uchikado
  • Tetsuhiro Owaki
  • Masataka Matsumoto
  • Tetsuro Setoyama
  • Yoshiaki Kita
  • Itaru Omoto
  • Ken Sasaki
  • Takaaki Arigami
  • Yoshikazu Uenosono
  • Sumiya Ishigami
  • Shoji Natsugoe
Case Report
First Online:
Received:
Accepted:
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Abstract

A 62-year-old man was diagnosed with superficial esophageal cancer on upper endoscopy during health screening. Endoscopic examination with iodine staining and narrow-band imaging revealed three superficial erosive lesions in the middle and lower thoracic esophagus. The depth of tumor invasion was diagnosed as shallow invasion into the submucosal layer on endoscopic ultrasonography. Since enhanced computed tomography showed a markedly swollen lymph node at the right cardia, with higher F-deoxyglucose uptake on F-deoxyglucose positron emission tomography, lymph node metastasis was suspected. Then esophagectomy with lymph node dissection was performed, and histopathologic examination of the resected specimen revealed metastasis of squamous cell carcinoma in the huge lymph node along the celiac artery. In superficial esophageal cancer with a distinct depressed lesion, horizontal extension, and especially with erosive esophagitis, the possibility of lymph node metastases should be kept in mind even the depth of tumor invasion was lamina propria mucosa.

Keywords

Lymph node metastasis Superficial esophageal cancer Lamina propria mucosa 
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Notes

Ethical Statement

This article does not contain any studies with human or animal subjects performed by any authors.

Conflict of interest

There are no financial or other relations that could lead to a conflict of interest.

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Copyright information

© The Japan Esophageal Society and Springer Japan 2014

Authors and Affiliations

  • Kiyonori Tanoue
    • 1
  • Hiroshi Okumura
    • 1
  • Yasuto Uchikado
    • 1
  • Tetsuhiro Owaki
    • 2
  • Masataka Matsumoto
    • 1
  • Tetsuro Setoyama
    • 1
  • Yoshiaki Kita
    • 1
  • Itaru Omoto
    • 1
  • Ken Sasaki
    • 1
  • Takaaki Arigami
    • 1
  • Yoshikazu Uenosono
    • 1
  • Sumiya Ishigami
    • 1
  • Shoji Natsugoe
    • 1
  1. 1.Department of Digestive Surgery, and Breast and Thyroid SurgeryGraduate School of Medicine, Kagoshima UniversityKagoshimaJapan
  2. 2.Education Center for Doctors in Remote Islands and Rural AreasGraduate School of Medicine, Kagoshima UniversityKagoshimaJapan

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