Abstract
In March 1984, a 56-year-old male was admitted to our hospital because of epigastralgia. An esophagofiberscopic examination revealed an erosive lesion about 35 cm distal from the upper incisors and biopsy specimens showed squamous cell carcinoma. By X-ray examination, a small lesion with granular appearance and irregular shaped mucosal relief was demonstrated. Endoscopic findings with Lugol staining method clealy showed non-stained, slightly depressed area indicating a pathological change. Total esophagectomy with gastic tube reconstruction was carried out at Showa University on May 16. Postoperative histological examination showed moderately differentiated squamous cell carcinoma, 22×28 mm in size, ly (-), v (-), and stage 0 (mm, n (-), M0, Pl0) . For the detection of early esophageal carcinoma, careful examination using X-ray and repeated panendoscopic examination with aids of Lugol staining and biopsy have strongly practical value.
