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  1. 広島大学の刊行物
  2. Hiroshima Journal of Medical Sciences
  3. 60巻1号

Advanced Esophageal Cancer with Situs Inversus Totalis Successfully Treated with Chemoradiotherapy Followed by Esophagectomy : Case Report

https://hiroshima.repo.nii.ac.jp/records/2013641
https://hiroshima.repo.nii.ac.jp/records/2013641
d969a650-e78d-4bf1-91d4-a62a4a32d32e
名前 / ファイル ライセンス アクション
HiroshimaJMedSci_60_21.pdf HiroshimaJMedSci_60_21.pdf (348.2 KB)
Item type デフォルトアイテムタイプ_(フル)(1)
公開日 2023-03-18
タイトル
タイトル Advanced Esophageal Cancer with Situs Inversus Totalis Successfully Treated with Chemoradiotherapy Followed by Esophagectomy : Case Report
言語 en
作成者 Aoki, Yoshiro

× Aoki, Yoshiro

en Aoki, Yoshiro

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Hihara, Jun

× Hihara, Jun

en Hihara, Jun

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Emi, Manabu

× Emi, Manabu

en Emi, Manabu

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Sakogawa, Kenji

× Sakogawa, Kenji

en Sakogawa, Kenji

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Hamai, Yoichi

× Hamai, Yoichi

en Hamai, Yoichi

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Okada, Morihito

× Okada, Morihito

en Okada, Morihito

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
権利情報 (c) Hiroshima University Medical Press.
主題
主題Scheme Other
主題 Esophageal cancer
主題
主題Scheme Other
主題 Neoadjuvant chemoradiotherapy
主題
主題Scheme Other
主題 Situs inversus totalis
主題
主題Scheme NDC
主題 490
内容記述
内容記述 We report a case of advanced esophageal cancer successfully treated with neoadjuvant chemoradiotherapy followed by esophagectomy in a 53-year-old man with situs inversus totalis. Upper gastrointestinal endoscopy in a clinical examination revealed a tumor in the lower third of the esophagus, and moderately differentiated squamous cell carcinoma was diagnosed from the biopsy findings. He was referred to us and the disease was diagnosed as esophageal cancer (clinical T3N1M0, cStage III) after further evaluation. According to the therapeutic strategy of our department, neoadjuvant chemoradiotherapy was commenced. The regimen was composed of radiotherapy (2 Gy/day, 5 days/week, 4weeks, total 40Gy) with cisplatin (70 mg/m2/day, day 1) and 5-FU (700 mg/m2/day, day 1-4). We performed a subtotal esophagectomy with radical lymph node dissection through a left thoracotomy because of the existence of situs inversus totalis. The thoracic operation could be performed with relatively safety because the organs were arranged in a mirror image of their normal positions. On the other hand, it was relatively difficult to construct a gastric tube. In particular, ligation of the gastrosplenic ligaments was difficult and this led to increased blood loss compared with usual operation. Histopathological examination revealed no residual carcinoma at the site of the primary focus. The patient has been followed up periodically on an outpatient basis and has remained free of recurrence for longer than 2 years 5 months after surgery.
言語 en
出版者
出版者 Hiroshima University Medical Press
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 0018-2052
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AA00664312
開始ページ
開始ページ 21
書誌情報 Hiroshima Journal of Medical Sciences
Hiroshima Journal of Medical Sciences

巻 60, 号 1, p. 21-24, 発行日 2011-03
旧ID 34990
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