咽喉異常感症合併下段食道癌

Globus Pharyngeus with Lower Esophageal Malignancy

陳建志(Jiann-Jy Chen) ； 陳登郎(Dem-Lion Chen) ； 魏銘華(Ming-Hua Wei)

《台灣耳鼻喉頭頸外科雜誌》 44卷4期 (2009/08) Pp. 120-123

https://doi.org/10.6286/2009.44.4.120

摘要

食道癌初期的症狀並不明顯，主要是吞嚥困難或體重減輕。一78歲男性，突發咽喉異常感症2個月，尚無吞嚥困難或體重減輕之症狀，初步臆斷爲胃食道逆流，於3週之抗胃酸逆流嘗試療法失敗後，經上消化道內視鏡檢及病理切片報告爲下段食道之鱗狀上皮癌。經電腦斷層、腹部超音波檢查及全身骨骼掃描後，診斷爲第一期T1N0M0之食道癌；鑒於年紀因素，遂安排同步化學放射線治療，不料，半年後死於放射線肺炎合併敗血症。因此，對於主訴咽喉異常感之年長男性患者，當保守治療無效時，需考慮到合併食道癌之可能性，並及早安排食道攝影或上消化道內視鏡檢，以排除食道病變。

關鍵字

咽喉異常感症 ； 食道癌

並列摘要

The early presentation of esophageal malignancy is always negligible, predominately dysphagia or body weight loss. A 78-year-old male patient presented with globus pharyngeus for 2 months. Dysphagia or body weight loss was not noted. Initially, gastroesophageal reflux was impressed; however, after 3 weeks' anti-reflux therapy, the symptom was not relieved. Then, fiberoptic esophagoscopy showed a protruded tumor in the lower segment of esophagus with squamous cell carcinoma in the pathological study. Stage I, T1N0M0 esophageal carcinoma was confirmed after computed tomography scan, abdomen ultra-sonography, and whole body bone scan were performed. Because of age, he was scheduled for concurrent chemo-radiotherapy; however half a year later, he was died of radiation pneumonitis and septicemia. In conclusion, esophageal malignancy should be ruled out by esophagogram or gastroesophagoscopy if conservative treatment fails to cure an aged man's globus pharyngeus.

並列關鍵字

globus pharyngeus ； esophageal malignancy