胃と腸59巻6号

2024年06月発行

今月の主題 内視鏡治療後サーベイランスの現状—異時性多発病変を中心に 主題

食道腫瘍の内視鏡治療後サーベイランス：扁平上皮癌—リスク因子を考慮したサーベイランスの重要性

著者： 北村陽子¹ 山川麻郁子¹ 佐久間裕太¹ 澤貴幸¹ 岡本直樹¹ 岸埜高明¹ 奥田隆史¹ 森康二郎¹ 田中斉祐¹ 金政和之¹ 島田啓司²

所属機関： ¹市立奈良病院消化器肝臓病センター・消化器内科 ²市立奈良病院病理診断科

ページ範囲：P.809 - P.819

要旨●食道扁平上皮癌の内視鏡治療後には，異時性食道内多発癌の他にも，二次原発悪性腫瘍が高頻度に発生する．禁酒・禁煙によって明らかに異時性食道癌と二次原発悪性腫瘍が減少したため，内視鏡治療後に禁酒・禁煙の指導を繰り返し行うことは非常に重要である．ヨード多発不染帯，食道癌リスク検診問診票，アルコール使用障害特定テスト，平均赤血球容積，軟口蓋粘膜のメラノーシスは，食道扁平上皮癌のリスク因子である．これらのリスク因子を考慮し，二次原発悪性腫瘍も加味したサーベイランス検査を行う必要がある．

参考文献

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