先天性食管闭锁成形术后22年发生的食管腺癌  

Development of an adenocarcinoma of the esophagus 22 years after primary repair of a congenital atresia

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作  者:Pultrum B.B. Bijleveld C.M. De Langen Z.J. Plukker J.Th.M. 刘凯 

机构地区:[1]Department of Surgical Oncology, University Medical Center Groningen (UMCG), 9700 RB Groningen, Netherlands

出  处:《世界核心医学期刊文摘(儿科学分册)》2006年第6期34-35,共2页

摘  要:Esophageal cancer development after previous atresia repair is extremely rare in young patients. We present the clinical course of a patient who developed an adenocarcinoma of the esophagus at the age of 22 years, after repair of a tracheoesophageal fistula with esophageal atresia in the neonatal period. She developed a stricture of the esophageal anastomosis requiring frequent dilatations. Six years after an antireflux procedure because of a difficult treatable severe gastroesophageal reflux, an advanced adenocarcinoma was detected at the site of the end-to-end anastomosis of the previous atresia.Esophageal cancer development after previous atresia repair is extremely rare in young patients. We present the clinical course of a patient who developed an adenocarcinoma of the esophagus at the age of 22 years, after repair of a tracheoesophageal fistula with esophageal atresia in the neonatal period. She developed a stricture of the esophageal anastomosis requiring frequent dilatations. Six years after an antireflux procedure because of a difficult treatable severe gastroesophageal reflux, an advanced adenocarcinoma was detected at the site of the end-to-end anastomosis of the previous atresia.

关 键 词:先天性食管闭锁 食管腺癌 成形术 术后 年轻患者 食管气管瘘 吻合口粘连 胃食管反流 抗反流治疗 女性患者 

分 类 号:R655.4[医药卫生—外科学] R735.1[医药卫生—临床医学]

 

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