식도와 폐의 동시성 중복암 -2예 보고- = Synchronous Double Cancer of the Esophagus and Lung Pulmonary Valve -Two case report-

다국어 초록 (Multilingual Abstract)

The synchronous double cancer of the esophagus and lung is rare. Right lower lobectomy and Ivor Lewis procedure were performed simultaneously in a 75 year-old male patient who had synchronous double primary squamous cell carcinoma of the thoracic esophagus and right lower lobe of the lung. Left upper lobectomy was performed in a 69 year-old male patient who had squamous cell carcinoma of the left upper lobe of the lung, and four months later we performed Ivor Lewis procedure for the squamous cell carcinoma that occurred in the thoracic esophagus. The above two patients were doing well 10 months and 24 months after the operation respectively without recurrence. We treated the two cases of synchronous double cancer of the esophagus and lung with complete resection, and report this with review of literature.

국문 초록 (Abstract)

식도와 폐에 동시성 중복암이 발생하는 경우는 드물다. 우폐 하엽과 흉부 식도에 원발성 편평상피세포암이 발생한 75세 남자 환자에 대해 우폐 하엽 절제술과 Ivor Lewis 술식을 동시에 시행하였다. 좌폐 상엽의 편평상피세포암으로 좌폐 상엽 절제술을 시행했던 69세 남자 환자에서 4개월 후 흉부 식도에 발생한 편평상피세포암에 대해 Ivor Lewis 술식을 시행하였다. 상기 2명의 환자는 수술 후 각각 10개월, 24개월째이며 재발 없이 잘 지내고 있다. 저자들은 식도와 폐에 발생한 동시성 중복암 2예에 대해 완전 절제를 시행하여 좋은 결과를 얻었기에 문헌고찰과 함께 보고하는 바이다.

참고문헌 (Reference)

• 1 "Two surgical cases of synchronous double carcinoma of the lung and the esophagus and review of 10 documented cases in Japan" 39 : 245-50, 1991
• 2 "Simultaneous operation in thoraco-abdominal clinical oncology" 20 : 1020-4, 2001
• 3 "Multiple primary cancers of the lung, esophagus, and other sites" 40 : 1954-60, 1977
• 4 "Esophageal cancer and multiple primary cancer" 24 : 1-7, 1997
• 5 "Combined sleeve lobectomy and Ivor Lewis esophagectomy for synchronous primary carcinoma of the lung and Barrett esophagus" 119 : 1289-90, 2000
• 6 "Associated primary esophageal and lung carcinoma: a study of 39 patients" 58 : 837-42, 1994
• 7 "A case report of synchronous double cancer of the lung and esophagus" 38 : 1053-8, 1990