Abstract
A 57-year-old female was admitted because of dysphagia. Esophagogram showed tumorous carcinoma at the lower third of the intrathoracic esophagus. The right hilar lymphnode swelling was recognized on the chest X-ray. The patient had a few flat ruber tetter on he cheak. Through the right thoracolaparotomy, subtotal esophagectomy, and lymphnode dissection were performed. Histologically, the specimen showed well differentiated squamous cell carcinoma. Epithelioid cell glanulomas with giant cells were observed in lymphnodes of the mediastinum, intraabdomen and skin lesion. In mediastinal lymphnodes, metastasis associated with squamous cell carcinoma and sarcoid glanuloma were mixturelly detected. The coexistence, associated with esophageal carcinoma and sarcoidosis is rare. There was only two case reports in Japan.
