Palliation of a primary malignant melanoma of the distal esophagus by stent implantation. Report of a case.

被引：0

作者：

Kastl S. ^{[1
]}

Wutke R. ^{[1
]}

Czeczatka P. ^{[1
]}

Hohenberger W. ^{[1
]}

Horbach T. ^{[1
]}

机构：

[1] Department of Surgery, University of Erlangen, Krankenhausstr. 12, Erlangen

来源：

Surgical Endoscopy | 2001年 / 15卷 / 9期

关键词：

Stent Implantation; Portal Vein Thrombosis; Insulinomas; Distal Esophagus; Primary Malignant Melanoma;

D O I：

10.1007/s004640042030

中图分类号：

学科分类号：

摘要：

BACKGROUND: A 55-year-old woman suffering from progressive dysphagia, retrosternal pain, and annoying foetor ex ore is described. Esophagogastroscopy showed a dark, necrotic tumor extending from 28 cm below the front teeth to the esophagogastric border, and biopsy showed it to be a primary malignant melanoma. The underlying progressive tumor stage with pericardial infiltration and intra-abdominal lymph node metastasis precluded the possibility of curative surgical treatment. METHODS: For palliation, we implanted a metal stent (Ultraflex, Microvasive, Boston Scientific Corporation, Watertown, MA, USA) in the distal esophagus to alleviate the dysphagia. RESULTS: Permanent recanalization of the tumor-obstructed esophagus by stent implantation alleviates symptoms, thereby significantly improving quality of life. Radiochemotherapy can be performed despite the presence of the stent. CONCLUSIONS: Surgery is the therapy of choice for resectable primary malignant melanoma of the esophagus. Endoscopic therapy should be considered for alleviating dysphagia if surgery is impossible.

引用

页码：1042 / 1043

页数：1