다발성 식도 소세포암 1예
A case of multiple small cell carcinoma of the esophagus
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초록
소세포암의 원발 부위는 대부분 폐와 기관지이며 드물게 타액선, 인후두, 식도, 위, 대장, 직장, 전립선, 자궁경부 등에서 발생할 수 있다. 식도의 원발성 소세포암은 매우 드물어 전체 식도암의 약 0.8～2.4%를 차지한다. 국내에서는 지금까지 약 20예 정도의 원발성 식도 소세포암이 보고되었는데 이 중 다발성으로 발생한 증례는 없었다. 저자 등은 2개월 간의 연하곤란을 주소로 내원한 61세 남자의 상부 위내시경 검사에서 다수의 식도 종괴가 발견되어 조직생검을 시행한 결과 소세포암으로 확인된 1예를 경험하였기에 문헌고찰과 함께 보고한다.
Abstract
The extra-pulmonary sites of a small cell carcinoma are the salivary glands, pharynx and larynx, esophagus, stomach, pancreas, colon, rectum, skin and cervix. Primary small cell carcinoma of the esophagus is extremely rare with an incidence ranging from 0.8～2.4% of all esophageal malignancies. There have been approximately 20 cases reported in the Korean literature thus far. However, there has not been a reported case of multiple small cell carcinoma of the esophagus. We report a case of multiple small cell carcinoma of the esophagus in a 61-year-old man who presented with a 2 month-history of progressive dysphagia with a review of the relevant literature.(Korean J Med 72:406-410, 2007)
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