Case report of a patient with recurrence after endoscopic submucosal dissection for superficial esophageal cancer, diagnosed with mediastinal lymph node endoscopic ultrasound-fine needle aspiration based on the symptom of hoarseness
The patient was an 81-year-old man who presented with a complaint of hoarseness. When he was 80 years old, he had developed superficial esophageal cancer and had undergone endoscopic submucosal dissection (ESD) at our hospital. Two months after the ESD, he developed hoarseness. Computed tomography (...
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Veröffentlicht in: | Nippon Shokakibyo Gakkai Zasshi 2021/03/10, Vol.118(3), pp.264-271 |
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creator | TAKAYAMA, Hideo KOMURA, Takuya YOSHIO, Takatoshi YANAGI, Masahiro NISHINO, Michiko ORITA, Noriaki NISHIKAWA, Masashi KAGAYA, Takashi KAWASHIMA, Atsuhiro UNOURA, Masashi |
description | The patient was an 81-year-old man who presented with a complaint of hoarseness. When he was 80 years old, he had developed superficial esophageal cancer and had undergone endoscopic submucosal dissection (ESD) at our hospital. Two months after the ESD, he developed hoarseness. Computed tomography (CT) scan showed no abnormal findings at that time;therefore, he was diagnosed with idiopathic vocal cord paralysis, and followed up with symptom treatment in the Gastroenterology and Otolaryngology Departments. Ten months after the ESD, a CT scan revealed mediastinal lymph node swelling. He was admitted to our hospital for histopathological examination of the lymph node using endoscopic ultrasound-fine needle aspiration (EUS-FNA). The histopathological examination revealed squamous cell carcinoma of the lymph node, similar to the primary esophageal tumor. This result suggests that laryngeal nerve paralysis involving hoarseness is caused by lymph node metastasis of superficial esophageal cancer. We report that histopathological examination with EUS-FNA helps in determining the cause of hoarseness that develops after ESD. |
doi_str_mv | 10.11405/nisshoshi.118.264 |
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When he was 80 years old, he had developed superficial esophageal cancer and had undergone endoscopic submucosal dissection (ESD) at our hospital. Two months after the ESD, he developed hoarseness. Computed tomography (CT) scan showed no abnormal findings at that time;therefore, he was diagnosed with idiopathic vocal cord paralysis, and followed up with symptom treatment in the Gastroenterology and Otolaryngology Departments. Ten months after the ESD, a CT scan revealed mediastinal lymph node swelling. He was admitted to our hospital for histopathological examination of the lymph node using endoscopic ultrasound-fine needle aspiration (EUS-FNA). The histopathological examination revealed squamous cell carcinoma of the lymph node, similar to the primary esophageal tumor. This result suggests that laryngeal nerve paralysis involving hoarseness is caused by lymph node metastasis of superficial esophageal cancer. We report that histopathological examination with EUS-FNA helps in determining the cause of hoarseness that develops after ESD.</description><identifier>ISSN: 0446-6586</identifier><identifier>EISSN: 1349-7693</identifier><identifier>DOI: 10.11405/nisshoshi.118.264</identifier><identifier>PMID: 33692261</identifier><language>jpn</language><publisher>Japan: The Japanese Society of Gastroenterology</publisher><subject>Aged, 80 and over ; Biopsy, Fine-Needle ; Endoscopic Mucosal Resection - adverse effects ; Endoscopic Ultrasound-Guided Fine Needle Aspiration - adverse effects ; Esophageal Neoplasms - diagnostic imaging ; Esophageal Neoplasms - surgery ; Hoarseness - etiology ; Humans ; Lymph Nodes ; Male ; Neoplasm Recurrence, Local</subject><ispartof>Nippon Shokakibyo Gakkai Zasshi, 2021/03/10, Vol.118(3), pp.264-271</ispartof><rights>2021 by The Japanese Society of Gastroenterology</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33692261$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>TAKAYAMA, Hideo</creatorcontrib><creatorcontrib>KOMURA, Takuya</creatorcontrib><creatorcontrib>YOSHIO, Takatoshi</creatorcontrib><creatorcontrib>YANAGI, Masahiro</creatorcontrib><creatorcontrib>NISHINO, Michiko</creatorcontrib><creatorcontrib>ORITA, Noriaki</creatorcontrib><creatorcontrib>NISHIKAWA, Masashi</creatorcontrib><creatorcontrib>KAGAYA, Takashi</creatorcontrib><creatorcontrib>KAWASHIMA, Atsuhiro</creatorcontrib><creatorcontrib>UNOURA, Masashi</creatorcontrib><title>Case report of a patient with recurrence after endoscopic submucosal dissection for superficial esophageal cancer, diagnosed with mediastinal lymph node endoscopic ultrasound-fine needle aspiration based on the symptom of hoarseness</title><title>Nippon Shokakibyo Gakkai Zasshi</title><addtitle>Nippon Shokakibyo Gakkai Zasshi</addtitle><description>The patient was an 81-year-old man who presented with a complaint of hoarseness. When he was 80 years old, he had developed superficial esophageal cancer and had undergone endoscopic submucosal dissection (ESD) at our hospital. Two months after the ESD, he developed hoarseness. Computed tomography (CT) scan showed no abnormal findings at that time;therefore, he was diagnosed with idiopathic vocal cord paralysis, and followed up with symptom treatment in the Gastroenterology and Otolaryngology Departments. Ten months after the ESD, a CT scan revealed mediastinal lymph node swelling. He was admitted to our hospital for histopathological examination of the lymph node using endoscopic ultrasound-fine needle aspiration (EUS-FNA). The histopathological examination revealed squamous cell carcinoma of the lymph node, similar to the primary esophageal tumor. This result suggests that laryngeal nerve paralysis involving hoarseness is caused by lymph node metastasis of superficial esophageal cancer. We report that histopathological examination with EUS-FNA helps in determining the cause of hoarseness that develops after ESD.</description><subject>Aged, 80 and over</subject><subject>Biopsy, Fine-Needle</subject><subject>Endoscopic Mucosal Resection - adverse effects</subject><subject>Endoscopic Ultrasound-Guided Fine Needle Aspiration - adverse effects</subject><subject>Esophageal Neoplasms - diagnostic imaging</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Hoarseness - etiology</subject><subject>Humans</subject><subject>Lymph Nodes</subject><subject>Male</subject><subject>Neoplasm Recurrence, Local</subject><issn>0446-6586</issn><issn>1349-7693</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNks9u1DAQxiMEoqvSF-CAfORAirN2vPERrcofqRIXOEcTZ9y4SuzgcYT6xjwG025ZcbHH8_30zXjsqnrbyOum0bL9GAPRlGgKfO6u90a_qHaN0rY-GKteVjuptalN25mL6oooDFJK29pOqdfVhVLG7vem2VV_jkAoMq4pF5G8ALFCCRiL-B3KxILbcsboUIAvmAXGMZFLa3CCtmHZXCKYxci9oCshReFTZmXF7IMLLCGldYI75NAB--QPTMNdTITjqcaCnKASIiPzw7JOIqYR_6-0zSUDpS2OtQ8RRUQcZ-6I1pDhqeoAj3YclAkFsUlJy-N1pgSZMCLRm-qVh5nw6nm_rH5-vvlx_Frffv_y7fjptr7nMTZ107Sd62w7WjDq4Iaxk9K3MGhzMK3bt9Yqh8p5bzponPagJSd9axt0HWhUl9X7k--a068NqfRLIIfzDBHTRv2-lVJ1Uh80o--eUZ4kjv2awwL5of_3OgzcnIB7KjzCMwC5BDdjf_4CPffeq6eVP8JZdxPkHqP6CzRjtbA</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>TAKAYAMA, Hideo</creator><creator>KOMURA, Takuya</creator><creator>YOSHIO, Takatoshi</creator><creator>YANAGI, Masahiro</creator><creator>NISHINO, Michiko</creator><creator>ORITA, Noriaki</creator><creator>NISHIKAWA, Masashi</creator><creator>KAGAYA, Takashi</creator><creator>KAWASHIMA, Atsuhiro</creator><creator>UNOURA, Masashi</creator><general>The Japanese Society of Gastroenterology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>2021</creationdate><title>Case report of a patient with recurrence after endoscopic submucosal dissection for superficial esophageal cancer, diagnosed with mediastinal lymph node endoscopic ultrasound-fine needle aspiration based on the symptom of hoarseness</title><author>TAKAYAMA, Hideo ; KOMURA, Takuya ; YOSHIO, Takatoshi ; YANAGI, Masahiro ; NISHINO, Michiko ; ORITA, Noriaki ; NISHIKAWA, Masashi ; KAGAYA, Takashi ; KAWASHIMA, Atsuhiro ; UNOURA, Masashi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j1181-1158c895d9a637cbd800f5ab46765c25993ce3cff68a1c4fa40259f591ec8a4e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>jpn</language><creationdate>2021</creationdate><topic>Aged, 80 and over</topic><topic>Biopsy, Fine-Needle</topic><topic>Endoscopic Mucosal Resection - adverse effects</topic><topic>Endoscopic Ultrasound-Guided Fine Needle Aspiration - adverse effects</topic><topic>Esophageal Neoplasms - diagnostic imaging</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Hoarseness - etiology</topic><topic>Humans</topic><topic>Lymph Nodes</topic><topic>Male</topic><topic>Neoplasm Recurrence, Local</topic><toplevel>online_resources</toplevel><creatorcontrib>TAKAYAMA, Hideo</creatorcontrib><creatorcontrib>KOMURA, Takuya</creatorcontrib><creatorcontrib>YOSHIO, Takatoshi</creatorcontrib><creatorcontrib>YANAGI, Masahiro</creatorcontrib><creatorcontrib>NISHINO, Michiko</creatorcontrib><creatorcontrib>ORITA, Noriaki</creatorcontrib><creatorcontrib>NISHIKAWA, Masashi</creatorcontrib><creatorcontrib>KAGAYA, Takashi</creatorcontrib><creatorcontrib>KAWASHIMA, Atsuhiro</creatorcontrib><creatorcontrib>UNOURA, Masashi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Nippon Shokakibyo Gakkai Zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>TAKAYAMA, Hideo</au><au>KOMURA, Takuya</au><au>YOSHIO, Takatoshi</au><au>YANAGI, Masahiro</au><au>NISHINO, Michiko</au><au>ORITA, Noriaki</au><au>NISHIKAWA, Masashi</au><au>KAGAYA, Takashi</au><au>KAWASHIMA, Atsuhiro</au><au>UNOURA, Masashi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Case report of a patient with recurrence after endoscopic submucosal dissection for superficial esophageal cancer, diagnosed with mediastinal lymph node endoscopic ultrasound-fine needle aspiration based on the symptom of hoarseness</atitle><jtitle>Nippon Shokakibyo Gakkai Zasshi</jtitle><addtitle>Nippon Shokakibyo Gakkai Zasshi</addtitle><date>2021</date><risdate>2021</risdate><volume>118</volume><issue>3</issue><spage>264</spage><epage>271</epage><pages>264-271</pages><issn>0446-6586</issn><eissn>1349-7693</eissn><abstract>The patient was an 81-year-old man who presented with a complaint of hoarseness. When he was 80 years old, he had developed superficial esophageal cancer and had undergone endoscopic submucosal dissection (ESD) at our hospital. Two months after the ESD, he developed hoarseness. Computed tomography (CT) scan showed no abnormal findings at that time;therefore, he was diagnosed with idiopathic vocal cord paralysis, and followed up with symptom treatment in the Gastroenterology and Otolaryngology Departments. Ten months after the ESD, a CT scan revealed mediastinal lymph node swelling. He was admitted to our hospital for histopathological examination of the lymph node using endoscopic ultrasound-fine needle aspiration (EUS-FNA). The histopathological examination revealed squamous cell carcinoma of the lymph node, similar to the primary esophageal tumor. This result suggests that laryngeal nerve paralysis involving hoarseness is caused by lymph node metastasis of superficial esophageal cancer. We report that histopathological examination with EUS-FNA helps in determining the cause of hoarseness that develops after ESD.</abstract><cop>Japan</cop><pub>The Japanese Society of Gastroenterology</pub><pmid>33692261</pmid><doi>10.11405/nisshoshi.118.264</doi><tpages>8</tpages></addata></record> |
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subjects | Aged, 80 and over Biopsy, Fine-Needle Endoscopic Mucosal Resection - adverse effects Endoscopic Ultrasound-Guided Fine Needle Aspiration - adverse effects Esophageal Neoplasms - diagnostic imaging Esophageal Neoplasms - surgery Hoarseness - etiology Humans Lymph Nodes Male Neoplasm Recurrence, Local |
title | Case report of a patient with recurrence after endoscopic submucosal dissection for superficial esophageal cancer, diagnosed with mediastinal lymph node endoscopic ultrasound-fine needle aspiration based on the symptom of hoarseness |
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