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KMID : 0364019730060020225
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Korean Journal of Thoracic and Cardiovascular Surgery
1973 Volume.6 No. 2 p.225 ~ p.230
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Lye Stricture of the Esophagus Complicated by Carcinoma
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Yu, Hoe-Sung
Lee, Ho-Il/Lee, Jung-Ho
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Abstract
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Five caes of esophageal cancer developed at the site of esophageal lye stricture were reported. Duration of lye stricture was between 13 and 40years, and all 5 cases had taken normal diet without appreciable troubles after recovery from the acute stage of burn till the suspected onset of esophageal maagnancy. Outstanding symptoms of this grave condition were rather acute progressive dysphagia and frequent episodes of esophageal foreign bodies. Diagnosis could be confirmed easily by endosconic biopsy in suspected cases, and all were epidermoid carcinoma histopathologically. Curative resection of this condition was made in neither of the cases, and their prognoses were more grave than otter esophageal malignancies in our experience.^(1)
The mevelopment of esophageal carcinoma at the site of corrosive esophagitis with resulting benign stricture has now been suspected as a cause and effect relationship between these two conditions, and Kivranta^(2) stated that the incidence of esophageal cancer in patients with lye stricture of longer duratioi is a thousand times higher than normal population.
During last one decade the authors experienced 5 cases of esophageal carcinoma developed at the site of re stricture of the esophagus among about 350 cases of lye burned esophagus at the Department if Thoracic & Cardiovascular Surgery, the National Medical Center in Seoul, Korea.
In Koea they still use lye as a detergent in rural area, and there are still many persons ingesting lye for micidal attempt or on accident. Lye stricture of the esophagus is, therefore, the most common esomageal disease needing surgical procedures, and the authors believe that there will be much more cases of lye stricture complicated by esophageal carcinoma repoted in near future in this Count.
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