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KMID : 0364019900230030537
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Korean Journal of Thoracic and Cardiovascular Surgery
1990 Volume.23 No. 3 p.537 ~ p.541
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Early Esophageal Carcinoma
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Abstract
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Early esophageal carcinoma is defined as a lesion wherein invasion is confined to the mucosa and submucosa without metastais to lymph node or other organs. Postoperative 5-year survival rate for early esophageal carcinoma is much superior than advanced carcinoma. Unfortunately, because of the anatomic characteristic of esophagus and absence of specific early symptoms, detection is frequently belated, and advanced disease is present at the time of the initial diagnosis. We experienced 2 cases of early esophageal carcinoma. They
complained no specific symptoms. The diagnosis was made by barium eso ha o + esophagofibersco y P g gram, py with dye staining and endoscopic biopsy. We performed esophage-ctomy with esophagogastrostomy. All had good postoperative course without any complication. We concluded that the combined use of double contrast radiography, esopagofiberscopy aided by intraluminal staining with Toluidine blue or Lugol´s solution, and endoscopic biopsy is very important in the diagnosis of early esophageal carcinoma in high risk patient group.
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