集学的治療が奏効した同時性下咽頭・食道・直腸3重複癌の1治験例

林 和彦; 井手 博子; 江口 礼紀; 中村 努; 吉田 一成; 小林 中; 中村 英美; 田中 元文; 山下 由紀; 村田 洋子; 鈴木 茂; 山田 明義

doi:10.5833/jjgs.27.92

A Synchronous Triple Cancer of Hypopharynx, Esophagus and Rectum Treated with Multimodality Therapy

Kazuhiko Hayashi, Hiroko Ide, Reiki Eguchi, Tsutomu Nakamura, Kazunari Yoshida, Ataru Kobayashi, Hidemi Nakamura, Motohumi Tanaka, Yuki Yamashita, Yoko Murata, Shigeru Suzuki, Akiyoshi Yamada

Author information

Kazuhiko Hayashi
Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical College
Hiroko Ide
Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical College
Reiki Eguchi
Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical College
Tsutomu Nakamura
Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical College
Kazunari Yoshida
Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical College
Ataru Kobayashi
Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical College
Hidemi Nakamura
Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical College
Motohumi Tanaka
Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical College
Yuki Yamashita
Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical College
Yoko Murata
Endoscopy, Institute of Gastroenterology, Tokyo Women's Medical College
Shigeru Suzuki
Endoscopy, Institute of Gastroenterology, Tokyo Women's Medical College
Akiyoshi Yamada
Radiology, Institute of Gastroenterology, Tokyo Women's Medical College

Keywords: esophageal cancer, synchronous cancer, triple cancer

JOURNAL FREE ACCESS

1994 Volume 27 Issue 1 Pages 92-96

DOI https://doi.org/10.5833/jjgs.27.92

Details

Abstract

The patient was a 67-year-old man who suffered synchronous triple cancer of the esophagus, hypopharynx, and rectum. The esophageal carcinoma was far advanced with aortic and left broncheal invasions. First he was treated with preoperative chemotherapy with CDDP (70 mg/m²; day 1), 5-FU (700 mg/m²; days 1-5), and VDS (3 mg/m²; day 1). After two cycles of chemotherapy he achieved PR in all lesions. The operation was divided into palliative resection of the hypopharyngeal and rectal carcinomas and curative esophagectomy. Post-operative irradiation was given to the hypopharynx, cervix, and upper mediastinum. He has been alive for 11 months with no evidence of recurrence, and has had good quality of life following this successfull multimodality treatment.

Corresponding author

Register with J-STAGE for free!