1994 Volume 10 Issue 2 Pages 138-142
A 49-year-old man with advanced esophageal cancer was admitted to our hospital to have an operation. X-ray examination of the esophagus showed a ulcerative and localized type tumor located in middle to middle third of the esophagus. The tumor was measured 5.5cm in vertical extension. Endoscopic biopsy revealed moderately differentiated squamous cell carcinoma. We performed preoperative treatment using hyperthermochemoradiotherapy. Subtotal esophagectomy was carried out after preoperative treatment. Histological study of the surgical specimen revealed no cancer cells in the lesion, so preoperative hyperthemochemoradiotherapy was markedly effective. Nevertheless this patient died of liver metastasis 32 months after operation. To improve the survival time, the more sophisticated multimodality therapy is expected.
