식도암의 전이 - 증 례 보 고 -
Brain Metastasis of Esophageal Carcinoma - A Case Report -
소속 상세정보
김영욱/Young Wook Kim
이정길/김현우/김태선/김재휴/김수한/강삼석/이제혁/이민철/Jung Kil Lee/Hyun Woo Kim/Tae Sun Kim/Jae Hyoo Kim/Soo Han Kim/Sam Suk Kang/Je Hyuk Lee/Min Cheol Lee
KMID : 0359819980270111582
Abstract
서 론
식도암은 매우 악성도가 높은 종양으로 생존률이 불량한 것으로 알려져 있다. 또한 식도
암의 뇌 전이는 아주 드물어 대부분 부검 례에서 보고되었으며 수술을 시행한 보고는 찾아
보기 힘들다. 저자들은 최근 식도암으로 진단받아 수술을 받은 후 13개월만에 좌측 측두엽
에 전이된 뇌종양을 발견하여 수술을 시행 후 좋은 결과를 경험하였기에 문헌고찰과 함께
보고하는 바이다.
#초록#
Metastasis to the from esophageal carcinoma is very rare. As a result of the evolution
of esophageal canser surgery. the overall median survival has been prolonged and the
chance to encounter a brain metastasis has been increased. A case of a 68-years-old
man who suffered from right hemipaaresis and speech distubance 13 months after the
surgery for esophageal carcinoma is presented. Solitary metastatic brain tumor was
removed successfully from the left temporal lobe and followed by postoperative
whole-brain irradiation. Improvement in the patient's neurological function was noated
immediately. He was discharged 4 weeks after operation with normal neurological status.
In case of solitary brain metastasis, surgical resection is to be highly recommened only
explation being the case with high surgical risk, and it is also beneficial risk, and it is
also beneficial in the brain metastasis following successful resection of esophageal
cancer. Although the route of brain metastasis of esophageal carcinoma has not proven
yet. the vertebral venous systems which was proposed by Batson in 1940 may be the
most likely the possible pathway.
키워드
Esophageal carcinoma; Brain metastasis; Surgical treatment;
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