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.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Kuroki Y, Yamada A, Sakakibara T, Yamazaki K, Yamashita I, Saito M, Shimizu T, Sakamoto T, Karaki Y, Tazawa K, Fujimaki M (1992) A case of superficial type of esophageal cancer with stenotic appearance (in Japanese). Nippon Rinsyo Geka Igakukai Zasshi (J Jpn Soc Clin Surg) 53(7):1624–1628
Nakagawa M, Ando N, Ozawa, S, Sato M, Ikeda Y, Imazu Y, Tamura A, Kitajima M (1993) A case of superficial esophageal cancer with a long stenotic lesion (in Japanese). Nippon Shokaki Geka Gakkai Zasshi (Jpn J Gastroenterol Surg) 26(8):2175–2179
Shima I, Fujita H, Yamana H, Tomita Y, Kakegawa T, Morimatsu M (1994) A case of superficial, spreading esophageal cancer with a long sclerosis of the esophageal wall and dysphasia (in Japanese). Nippon Kyoubu Geka Gakkai Zasshi (J Jpn Assn Thorac Surg) 42(11):2112–2116
Esophageal Disease Research Society (1993) Guidelines for the clinical and pathologic studies on carcinoma of the esophagus, 8th edn (in Japanese). Kanehara, Tokyo
Hermaneck P, Sobin LH (eds) (1987) International Union Against Cancer (UICC) TMN Classification of malignant tumors, 4th edn. Springer, Berlin
John V, Stirling AJ, Matthews HR (1978) Rheumatoid stricture of oesophagus. Br Med J 25:479
Sugihara K, Ishi K, Terajima H, Hatano R, Menjo M (1981) Esophageal stricture due to systemic lupus erythematosus (SLE) (in Japanese). Nippon Geka Gakkai Zasshi (J Jpn Surg Soc) 82(5):498–504
Bretagne JF, Launois B, Ferrand B, Gastard J (1982) Sténose rhumatoïde de l’œsophage. Gastroenterol Clin Biol 6:709–717
Picciocchi A, Cardillo G, G’Ugo D, Castrucci G, Mascellari L, Granone P (1993) Surgical treatment of achalasia: a retrospective comparative study. Surg Today 23:855–859
DeNardi FG, Riddell RH (1991) The normal, esophagus. Am J Surg Pathol 15:296–309
Takubo K, Asajima K, Tanaka Y, Fujita K (1991) Double muscularis mucosae in Barrett’s esophagus. Hum Pathol 22:1158–1161
Nishimaki T, Holscher AH, Schuler M, Becker K, Muto T, Siewert JR (1994) Chronic esophagitis and subsequent morphological changes of the esophageal mucosa in Barrett’s esophagus: a histological study of esophagectomy specimens. Surg Today 24:203–209
Natsugoe T, Matsushita Y, Kijima F, Tokuda K, Shimada M, Shirao K, Kusano C, Baba M, Yoshinaka H, Fukumoto T, Mueller J, Aikou T (1998) Diffusely infiltrative squamous cell carcinoma of the esophagus. Surg Today 28:129–134
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kawaguchi, H., Kuwano, H., Araki, K. et al. Esophageal carcinoma showing a long stricture due to prominent lymphatic permeation: Report of a case. Surg Today 29, 545–548 (1999). https://doi.org/10.1007/BF02482350
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02482350