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KMID : 0374920100310010045
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Inje Medical Journal
2010 Volume.31 No. 1 p.45 ~ p.54
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A Case of Combined Hypopharyngeal and Lower Esophageal Cancer with Metastatic Lymphadenopathy : Diagnostic Use of Endoscopic Ultrasound-guided trucut Biopsy
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Kwak Myoung-Ok
Lee Jung-Hwan
Moon Jeong-Seop
Kim You-Sun
Ryu Soo-Hyung
Chuan Tsung-Pei
Kim Hyung-Hun
Kim Hyun-Tae
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Abstract
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The incidence of double primary cancer is about 10% in all kinds of cancers. Double primary cancer is usually accompanied by gastrointestinal cancer. Esophageal cancer is supposed to be frequently accompanied by squamous cell carcinoma of the head and neck or the upper respiratory tract, because of such common carcinogens as smoking and alcohol ingestion. Esophageal cancer and hypopharyngeal cancer are usually diagnosed by esophagogastric endoscopy with biopsy. We performed endoscopic ultrasound-guided Trucut biopsy(EUS-TCB) to diagnose a mediastinal mass in a 49 year-old patient, who visited our hospital because of voice change. During procedure, we accidently found enlarged celiac lymph node, and obtained tissue from the mediastinal lymph node and the celiac lymph node. We confirmed double primary cancer of squamous cell carcinoma in the esophagus and the hypopharynx via esophagogastric endoscopy.
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KEYWORD
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Multiple primary neoplasms, Esophageal cancer, Hypopharyngeal cancer, Interventional ultrasonography, Lymphadenopathy
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