Two cases of endoscopical excision mucosectomy from superficial esophageal cancer
Masuda, M.; Maruyama, M.; Fujita, Y.
Gastroenterological Endoscopy 33(2): 272-277
We reported two cases of superficial esophageal cancer treated by endoscopical excision (mucosectomy). The first case was a 73-year-old male who had ischemic heart disease. Endoscopical examination revealed a superficial depressed type of esophageal cancer in the lower esophagus. There was a high risk in performing surgical resection of the esophageal cancer because of the condition of his heart. Endoscopical excision was performed using a double channeled fiberscope (Olympus GTF-2 T 10) without any complications. After 18 months, there was no local recurrences, but in the upper esophagus another lesion of dysplasia was found out. The second case was a 81-year-old male who had ischemic heart disease. Endoscopical examination revealed a superficially elevated type of esophageal cancer in the upper esophagus. Endoscopic resection was performed without any complications. After 4 motnhs, there was no local recurrences, but close to the treated area, another cancer of superficially elevated type was developed. Thus, the second endoscopic resection was performed. Seven months after the second procedure, there was no local recurrence. So, we think endoscopical excision (mucosectomy) is useful technic for the treatment of superficial esophageal cancer.