Successful endoscopic treatment of superficial esophageal cancer in a patient with esophageal variceal bleeding:A case report  

作　　者：Li Xu Shan-Shan Chen Chao Yang Hai-Jun Cao 

机构地区：[1]Department of Gastrointestinal Medicine,The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310018,Zhejiang Province,China [2]Department of Orthopaedics,The 903^(rd)Hospital of the PLA of China,Hangzhou 310000,Zhejiang Province,China [3]Department of Gastroenterology,The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310018,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2024年第27期6105-6110,共6页世界临床病例杂志

基　　金：the Zhejiang Medicine and Health Science and Technology Project,No.2022RC217.

摘　　要：BACKGROUND The coexistence of esophageal variceal bleeding and superficial esophageal cancer(SEC)is relatively rare in clinical practice.Moreover,there have been few reports of SEC overlying esophageal varices(EVs).Herein,we report our successful use of endoscopic submucosal dissection(ESD),esophageal solitary venous dilatation(ESVD),and endoscopic injection sclerotherapy(EIS)to treat a 75-year-old man who was diagnosed with SEC coexisting with esophageal variceal bleeding.CASE SUMMARY A 75-year-old man was admitted to the hospital due to black stool for 4 days.The patient had a history of liver cancer,cirrhosis,and portal hypertension.Endosco-pic examination revealed esophageal and gastric varicose veins,as well as esoph-ageal carcinoma in situ.We first treated esophageal variceal bleeding by ESVD and EIS.One week later,ESD treatment was done,and the complete rese-ction of early esophageal cancer was successfully completed via endoscopy.There were no postoperative complications,such as bleeding,infection,or perforation.CONCLUSION The sequential treatment of ESVD,EIS,and ESD is an effective method for trea-ting EVs with early esophageal cancer.

关 键 词：Endoscopic selective varices devascularization Endoscopic injection sclero-esophageal cancer Case report 

分 类 号：R735.1[医药卫生—肿瘤]