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KMID : 0359019940140030349
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Korean Journal of Gastrointestinal Endoscopy
1994 Volume.14 No. 3 p.349 ~ p.356
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A Case of Esophageal Cancer Showing Intramural Metastasis to the Stomach in Complete Remission with Preoperative Chemoradiotherapy
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임의혁
김성걸/김진희/육은주/성자원/김병호/정현용/이헌영/김영건
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Abstract
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Esophageal carcinoma is a rare malignant neoplasm consisting of about 1.5% of the whole gastrointestinal tract neoplasm and has poor prognosis of which survival rate is below 5%. The squamous cell carcinoma of esophagus could be multicentric in
character and may have occured in 9.5-2.7% of incidence. The most common site is head and neck region. The metastasis of esophageal carcinoma occur through hematogenous, lymphatic spread, direct invasion and rarely intramural metastasis. Of
theses,
intramural metastasis has been occured in 7-14.3% of incidence and its presence has been regared to poor prognostic factor due to early regional or distant metastasis.
Surgery, chemotherapy, radiotherapy alone or combination of these has been used as treatment modalities of esophageal cancer but combination chemoradiotherapy with or without operation is prefered method than other at present. Authors report a
case
of
esophageal carcinoma showing intramural metastasis to the gastric wall, which had the complete remission with preoperative chemoradiotherpy.
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KEYWORD
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