2018 Volume 60 Issue 8 Pages 1472-1478
A 62-year-old man visited our hospital with liver dysfunction. Echocardiography revealed cardiac tamponade, while pericardial drainage revealed squamous cell carcinoma cells in the pericardial effusion. Upper gastrointestinal endoscopy revealed a lesion that was likely intramucosal carcinoma as well as a lesion that was likely submucosal cancer in the mid-thoracic esophagus and in the lower thoracic esophagus, respectively. The lesions in the mid-thoracic esophagus and the lower thoracic esophagus were confirmed to be squamous cell carcinoma cells by biopsy. As a result, the patient was diagnosed with multiple esophageal superficial cancer complicated by carcinomatous pericarditis (cT1bN0M1 cStage Ⅳb) . He received various chemotherapies, which caused shrinkage of the lesion in the mid-thoracic esophagus and loss of the lesion in the lower thoracic esophagus. Obvious distant metastases were not detected by PET-CT and echocardiography. Endoscopic submucosal dissection (ESD) was performed for the residual lesion, which was completely resected. He has remained free of recurrence for ten months without additional treatment after undergoing ESD.
