A long-term survival case after surgical resection of skeletal muscle metastasis following esophagectomy for squamous cell carcinoma of the esophagus

Abstract Cases of skeletal muscle metastasis of esophageal carcinoma are very rare, with few reports of long-term survival. We report a case of long-term survival after surgical resection of skeletal muscle metastasis. A 56-year-old man with advanced esophageal cancer and early gastric cancer underw...

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Veröffentlicht in:Journal of surgical case reports 2017-07, Vol.2017 (7), p.rjx141
Hauptverfasser: Saito, Akira, Murakami, Masahiko, Otsuka, Koji, Komoto, Masahiro, Kato, Rei, Motegi, Kentaro, Yamashita, Takeshi, Date, Hiromi, Ariyoshi, Tomotake, Goto, Satoru, Koizumi, Tomotake, Yamazaki, Kimiyasu, Watanabe, Makoto, Aoki, Takeshi
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container_issue 7
container_start_page rjx141
container_title Journal of surgical case reports
container_volume 2017
creator Saito, Akira
Murakami, Masahiko
Otsuka, Koji
Komoto, Masahiro
Kato, Rei
Motegi, Kentaro
Yamashita, Takeshi
Date, Hiromi
Ariyoshi, Tomotake
Goto, Satoru
Koizumi, Tomotake
Yamazaki, Kimiyasu
Watanabe, Makoto
Aoki, Takeshi
description Abstract Cases of skeletal muscle metastasis of esophageal carcinoma are very rare, with few reports of long-term survival. We report a case of long-term survival after surgical resection of skeletal muscle metastasis. A 56-year-old man with advanced esophageal cancer and early gastric cancer underwent thoracoscopic esophagectomy, 2-field lymph node dissection, partial gastrectomy and gastric tube reconstruction. Six months later, cervical lymph node metastasis and mediastinal lymph node recurrence were found. Therefore, the patient underwent cervical lymph node dissection and adjuvant chemoradiotherapy. Two years and 3 months after the esophagectomy, a muscle metastasis was found in the left shoulder, and he underwent tumor dissection, followed by adjuvant chemotherapy for a year. There has been no sign of recurrence since, even 13 years after the esophagectomy. We believe our aggressive surgical treatment might have led to long-term survival.
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title A long-term survival case after surgical resection of skeletal muscle metastasis following esophagectomy for squamous cell carcinoma of the esophagus
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