A Successfully Treated Case of Cervico-thoracic Esophageal Cancer by Larynx-preserving Esophagectomy in Team Medication

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
Hauptverfasser: Hagiwara, Nobutoshi, Matsutani, Takeshi, Nomura, Tsutomu, Nakamizo, Munenaga, Yokoshima, Kazuhiko, Kawagoe, Tetsuro, Kawami, Noriyuki, Miyashita, Tsugihiro, Miyashita, Masao, Uchida, Eiji
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Sprache:eng ; jpn
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cervico-thoracic esophageal cancer
larynx-preserving esophagectomy
team medication
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container_issue 1
container_start_page 20
container_title Nihon Ika Daigaku Igakkai Zasshi
container_volume 9
creator Hagiwara, Nobutoshi
Matsutani, Takeshi
Nomura, Tsutomu
Nakamizo, Munenaga
Yokoshima, Kazuhiko
Kawagoe, Tetsuro
Kawami, Noriyuki
Miyashita, Tsugihiro
Miyashita, Masao
Uchida, Eiji
description 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.
doi_str_mv 10.1272/manms.9.20
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source J-STAGE Free; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Open Access Titles of Japan
subjects cervico-thoracic esophageal cancer
larynx-preserving esophagectomy
team medication
title A Successfully Treated Case of Cervico-thoracic Esophageal Cancer by Larynx-preserving Esophagectomy in Team Medication
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