A Case of Refractory Esophageal Ulcer Caused by Radiotherapy for Hepatocellular Carcinoma.

Chronic esophageal toxicity Esophageal stenosis Esophageal ulcer Hepatocellular carcinoma Radiotherapy

Journal

World journal of oncology
ISSN: 1920-454X
Titre abrégé: World J Oncol
Pays: Canada
ID NLM: 101564097

Informations de publication

Date de publication:
Jun 2021
Historique:
received: 08 03 2021
accepted: 15 04 2021
entrez: 28 5 2021
pubmed: 29 5 2021
medline: 29 5 2021
Statut: ppublish

Résumé

A 77-year-old man who underwent radiotherapy for hepatocellular carcinoma 6 months prior consulted for esophageal obstruction. Esophagogastroduodenoscopy revealed an esophageal ulcer caused by radiotherapy for hepatocellular carcinoma. He was treated with dietary counseling and vonoprazan. After 9 months, the ulcer improved but a moderate stenosis remained. Several factors such as high fraction size, history of chemotherapy, and stress associated with food intake might involve in the development of a radiation-associated ulcer. Opportunities to choose radiotherapy for hepatocellular carcinoma may increase, so we hypothesize that esophageal ulcers might be a complication that should be noted associated with this therapy.

Identifiants

pubmed: 34046101
doi: 10.14740/wjon1370
pmc: PMC8139740
doi:

Types de publication

Case Reports

Langues

eng

Pagination

67-72

Informations de copyright

Copyright 2021, Hamada et al.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Kazu Hamada (K)

Department of Geriatric Medicine, Kanazawa Medical University, Ishikawa, Japan.
Department of Gastroenterological Endoscopy, Kanazawa Medical University, Ishikawa, Japan.

Tohru Itoh (T)

Department of Gastroenterological Endoscopy, Kanazawa Medical University, Ishikawa, Japan.

Ken Kawaura (K)

Department of Gastroenterological Endoscopy, Kanazawa Medical University, Ishikawa, Japan.

Hiroaki Kuno (H)

Department of Gastroenterological Endoscopy, Kanazawa Medical University, Ishikawa, Japan.

Junji Kamai (J)

Department of Gastroenterological Endoscopy, Kanazawa Medical University, Ishikawa, Japan.

Rika Kobayasi (R)

Department of Gastroenterological Endoscopy, Kanazawa Medical University, Ishikawa, Japan.

Sadahumi Azukisawa (S)

Department of Gastroenterological Endoscopy, Kanazawa Medical University, Ishikawa, Japan.

Hidekazu Kitakata (H)

Department of Gastroenterological Endoscopy, Kanazawa Medical University, Ishikawa, Japan.

Taishi Ishisaka (T)

Department of Geriatric Medicine, Kanazawa Medical University, Ishikawa, Japan.

Yuta Igarashi (Y)

Department of Geriatric Medicine, Kanazawa Medical University, Ishikawa, Japan.

Kumie Kodera (K)

Department of Geriatric Medicine, Kanazawa Medical University, Ishikawa, Japan.

Tazuo Okuno (T)

Department of Geriatric Medicine, Kanazawa Medical University, Ishikawa, Japan.

Takuro Morita (T)

Department of Geriatric Medicine, Kanazawa Medical University, Ishikawa, Japan.

Tarou Himeno (T)

Department of Geriatric Medicine, Kanazawa Medical University, Ishikawa, Japan.

Hiroshi Yano (H)

Department of Geriatric Medicine, Kanazawa Medical University, Ishikawa, Japan.

Toshihiro Higashikawa (T)

Department of Geriatric Medicine, Kanazawa Medical University, Ishikawa, Japan.

Osamu Iritani (O)

Department of Geriatric Medicine, Kanazawa Medical University, Ishikawa, Japan.

Kunimitsu Iwai (K)

Department of Geriatric Medicine, Kanazawa Medical University, Ishikawa, Japan.

Shigeto Morimoto (S)

Department of Geriatric Medicine, Kanazawa Medical University, Ishikawa, Japan.

Munetaka Matoba (M)

Department of Radiology, Kanazawa Medical University, Ishikawa, Japan.

Masashi Okuro (M)

Department of Geriatric Medicine, Kanazawa Medical University, Ishikawa, Japan.

Classifications MeSH