A 65-year-old man was admitted to our hospital following 6 months of dysphagia.\nAt first, conventional endoscopy showed a reddish and depressed lesion\nin the stomach and an elevated lesion in the posterior wall of the hypopharynx.\nAn endoscopic biopsy showed adenocarcinoma in the stomach, and\nsquamous cell carcinoma in the hypopharynx. On the further examination,\ntrans-nasal endoscopy with narrow band imaging (NBI) was performed.\nDuring the trumpet maneuver, a huge protruded lesion was observed and it\nreached to the orifice of the esophagus. Other superficial lesion located at left\npyriform sinus was detected by NBI system as brownish area with brown dots.\nFurthermore, superficial esophageal cancer in the cervical esophagus was detected.\nFinally, 4 carcinomas in upper gastrointestinal tract were detected.\nAmong them, the hypopharyngeal cancer was the most advanced (T3N0). The\npatient hoped to preserve his voice and swallowing function, endoscopic laryngo-\npharyngeal surgery (ELPS) was performed for the hypopharyngeal\ncancer. Endoscopic mucosal resection (EMR) was performed for the esophageal\ncancer, and Endoscopic submucosal dissection (ESD) was performed for\nthe gastric cancer. Under collaboration between a head and neck surgeon and\nan endoscopist, the tumor was resected en-bloc. The histopathological find-ings of hypopharyngeal cancer were squamous cell carcinoma, subeipthelial\ninvasion, 29 Ã?â?? 28 Ã?â?? 4.2 mm. The others were diagnosed as mucosal cancers.\nThe patient is currently alive with no recurrence at 28 months after the surgery;\nthere is no stricture at the cervical esophagus. Endoscopic laryngopharyngeal\nsurgery for the tumor of pharyngo-esophageal junction can provide a\nless invasive treatment.
Loading....