A Successfully Treated Case of Cervico-thoracic Esophageal Cancer by Larynx-preserving Esophagectomy in Team Medication
A 54-year-old male with a chief complaint of dysphagia was admitted to our hospital. Upper gastrointestinal endoscopy and esophagogram revealed a submucosal tumor in the cervico-thoracic esophagus, and pathological examination of the biopsy specimens revealed a squamous cell carcinoma. Computed tomo...
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Veröffentlicht in: | Nihon Ika Daigaku Igakkai Zasshi 2013, Vol.9(1), pp.20-24 |
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Hauptverfasser: | , , , , , , , , , |
Format: | Artikel |
Sprache: | eng ; jpn |
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Zusammenfassung: | A 54-year-old male with a chief complaint of dysphagia was admitted to our hospital. Upper gastrointestinal endoscopy and esophagogram revealed a submucosal tumor in the cervico-thoracic esophagus, and pathological examination of the biopsy specimens revealed a squamous cell carcinoma. Computed tomography of the neck and chest showed cT4N0M0, cStage III. The patient received neoadjuvant chemotherapy (NAC) with cisplatin and 5-FU. Follow-up examinations after NAC evaluated a stable disease. The patient underwent larynx-preserving thoracoscopic esophagectomy. Reconstruction was done using a gastric tube through the retrosternal route and free jejunum graft with micro-vascular anastomosis. The postoperative course was uneventful and the patient had been able to eat most foods without aspiration. We herein describe the importance of team management for a cervico-thoracic esophageal cancer. |
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ISSN: | 1349-8975 1880-2877 |
DOI: | 10.1272/manms.9.20 |