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1989•The journal of the Japanese Practical Surgeon SocietyOpen access

CARCINOMA ASSOSIATED WITH ACHALASIA OF THE ESOPHAGUS

Teruhiko Fujii, Hiromasa Fujita, Hideaki Yamana, Kazuyoshi Sakamoto, Genzan Shirouzu, Taizo Minami, Teruo Kakegawa

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Abstract

This paper describes 3 cases of esophageal carcinoma associated with achalasia, as well as 330 cases of esophageal carcinoma and 10 operated on for achalasia during the recent 8 years, in which clinical findings were comparatively investigated among the three disease groups. In the 3 cases of carcinoma associated with achalasia, female sex was predominant like in achalasia. The average age was 61 likewise in esophageal carcinoma. An average length of these tumors measured on the esophagogram was 9cm, i.e. larger than in esophageal carcinoma. Most tumors were located in the upper third of the thoracic esophagus. All cases were fairly advanced (stage IV). In two cases palliative resction was performed and one underwent no surgery. The prognoses of these cases were extremely poor, therefore we have realized that early detection of carcinoma is very important in patients with achalasia of the esophagus.

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What this paper is about

This paper describes 3 cases of esophageal carcinoma associated with achalasia, as well as 330 cases of esophageal carcinoma and 10 operated on for achalasia during the recent 8 years, in which clinical findings were comparatively investigated among the three disease groups. In the 3 cases of carcinoma associated with achalasia, female sex was predominant like in achalasia. The average age was 61 likewise in esophageal carcinoma. An average length of these tumors measured on the esophagogram was 9cm, i.e. larger than in esophageal carcinoma. Most tumors were located in the upper third of the thoracic esophagus. All cases were fairly advanced (stage IV). In two cases palliative resction was performed and one underwent no surgery. The prognoses of these cases were extremely poor, therefore we have realized that early detection of carcinoma is very important in patients with achalasia of the esophagus.

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Available abstract

This paper describes 3 cases of esophageal carcinoma associated with achalasia, as well as 330 cases of esophageal carcinoma and 10 operated on for achalasia during the recent 8 years, in which clinical findings were comparatively investigated among the three disease groups. In the 3 cases of carcinoma associated with achalasia, female sex was predominant like in achalasia. The average age was 61 likewise in esophageal carcinoma. An average length of these tumors measured on the esophagogram was 9cm, i.e. larger than in esophageal carcinoma. Most tumors were located in the upper third of the thoracic esophagus. All cases were fairly advanced (stage IV). In two cases palliative resction was performed and one underwent no surgery. The prognoses of these cases were extremely poor, therefore we have realized that early detection of carcinoma is very important in patients with achalasia of the esophagus.

Key concepts: Achalasia, Esophagus, Medicine, Carcinoma, Gastroenterology, Internal medicine, General surgery, Surgery

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