Achalasia accompanied with esophageal carcinoma and cardiac carcinoma

Objective To improve the diagnosis and treatment of achalasia accompanied with carcinomas of esophagus and cardia. Methods To retrospect the diagnosis, treatment and pathology of 12 cases of achalasia accompanied with carcinomas of esophagus and cardia. Results Of 12 cases achalasia accompanied with esophageal carcinoma or cardiac carcinoma , 4 cases were operated , and 2 cases survived more than 3 year , one case died in half a year of operation. one operated case was followed up less than half-one year. 6 cases treated with chemotherapy and radiotherapy survived from half a year to 1.5 year.Conclusion 1. The symptoms of esophageal carcinoma and cardiac carcinoma can be defied by the symptom of achalasia. 2. The incidence of esophageal cancer and cardiac cancer of patients with achalasia can not reduced after Heller operation. The patients with achalasia should be followed up regularly once a year . 3. The incidence of esophageal carcinoma of achalasia was higher. The patients of achalasia are the high-risk group. 4. When having special symptoms, post-operation patients should be counterchecked to be found early. 5. The incidence of esophageal carcinoma and cardiac carcinoma of patients with achalasia currently is similar with that of asynchronous carcinoma occurring. The patients of achalasia should be examined conventionally by esophagoscope in order to exclude the possibility of carcinomas of esophagus and cardia.