바렛 식도에 발생한 식도 선암종의 수술적 치료 - 1예 보고 -

Surgical Treatment of Esophageal Adenocarcinoma in Barrett's Esophagus - A case report -

  • 정원상 (한양대학교 의과대학 흉부외과학교실) ;
  • 강정호 (한양대학교 의과대학 흉부외과학교실) ;
  • 송영주 (한양대학교 의과대학 흉부외과학교실) ;
  • 김영학 (한양대학교 의과대학 흉부외과학교실) ;
  • 김혁 (한양대학교 의과대학 흉부외과학교실)
  • Chung, Won-Sang (Department of Thoracic and Cardiovascular Surgery, College of Medical, Hanyang University) ;
  • Kang, Jeong-Ho (Department of Thoracic and Cardiovascular Surgery, College of Medical, Hanyang University) ;
  • Song, Young-Joo (Department of Thoracic and Cardiovascular Surgery, College of Medical, Hanyang University) ;
  • Kim, Young-Hak (Department of Thoracic and Cardiovascular Surgery, College of Medical, Hanyang University) ;
  • Kim, Hyuck (Department of Thoracic and Cardiovascular Surgery, College of Medical, Hanyang University)
  • 발행 : 2008.12.05

초록

바렛식도는 식도선암의 전구 병변으로 알려져 있으나, 우리나라에서는 보고된 예가 극히 드물다. 본 원에서는 81세 남자에서 식도선암 진단 하에, 부분식도절제술 및 식도-위 단단문합술을 시행하였다. 절제된 조직의 병리검사에서 식도 선암종 주위의 배상세포를 동반한 장상피화생을 관찰할 수 있었다. 이에 문헌고찰과 함께 보고하는 바이다.

Barrett's esophagus is precancerous lesion of esophageal adenocarcinoma, but this has been rarely reported in Korea. A 81-year-old man with esophageal adenocarcinoma was admitted to our hospital, and we performed a distal esophagectomy and end-to-end esophagogastrostomy. The microscopic examination of the resected tissue revealed the intestinal metaplasia with goblet cells around the esophageal adenocarcinoma, which indicates this was a Barrett's esophagus. We report here on this case along with a review of the relevant literature.

키워드

참고문헌

  1. Jung YK, Park JJ, Kim JH, et al. Two cases of adenocarcinoma arising from short segment Barrett's esophagus. Korean J Gastrointest Endosc 2004;28:18-24
  2. Spechler SJ, Robbins AH, Rubins HB, et al. Adenocarcinoma and Barrett's esophagus. An overrated risk? Gastroenterology 1984;87:927-33
  3. Kim JY, Kim YS, Jung MK, et al. Prevalence of Barrett's esophagus in Korea. J Gastroenterol Hepatol 2005;20:633-6 https://doi.org/10.1111/j.1440-1746.2005.03749.x
  4. Kim JH, Rhee PL, Lee JH, et al. Prevalence and risk factors of Barrett's esophagus in Korea. J Gastroenterol Hepatol 2007;22:908-12 https://doi.org/10.1111/j.1440-1746.2006.04448.x
  5. Hulscher JB, van Sandick JW, de Boer AG, et al. Extended transthoracic resection compared with limited transhiatal resection for adenocarcinoma of the esophagus. N Engl J Med 2002;347:1662-9 https://doi.org/10.1056/NEJMoa022343
  6. May A, Gossner L, Pech O, et al. Local endoscopic therapy for intraepithelial high-grade neoplasia and early adenocarcinoma in Barrett's oesophagus: acute-phase and intermediate results of a new treatment approach. Eur J Gastroenterol Hepatol 2002;140:1085-91
  7. Siewert JR, Stein HJ, Feith M. Surgical approach to invasive adenocarcinoma of the distal esophagus (Barrett's cancer). World J Surg 2003;27:1058-61 https://doi.org/10.1007/s00268-003-7061-1
  8. Park KS, Park CK, Choi SY, et al. Transhital versus transthoracic esophagectomy for esophageal cancer. Korean J Thorac Cardiovasc Surg 2002;35:296-302