Abstract
The presence of cirrhosis-related esophageal varices combined with pre-existed esophageal cancer is rarely documented. Most studies concerned about the possibility that endoscopic injection sclerotherapy (EIS) induces a secondary esophageal cancer. Whether radiotherapy complicates varices bleeding or rupture is seldom mentioned. We present a case of early esophageal cancer accidentally found by panendoscope (PES) for upper gastrointestinal bleeding survey. The tumor was adjacent to one of the esophageal varices. According to the case reports we summarized, varices and the esophageal cancer can be managed separately. Varices can be treated by ligation, sclerotherapy, or photodynamic therapy (PDT). The early esophageal cancer can be treated by PDT, endoscopic resection, radiotherapy, or esophagectomy. In this case, varices ligation was performed prior to radiotherapy. The treatment course finished smoothly. He had kept regular follow-up at our OPD
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