Long-term survival after resection of paraaortic lymph node metastasis that developed 6 years after the esophagectomy
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Isamu Hoshino Toru Fukunaga Yuji Sugamoto Yorihiko Muto Tetsuro Maruyama Masayuki Kimura Masatoshi Iino Masanobu Eguchi Hisahiro Matsu
- چاپ و سال / کشور: 2011
Description
A 62-year-old man underwent subtotal esophagectomy with an extended three-field lymph node dissection for squamous cell carcinoma of the lower thoracic esophagus (histological stage pT3N1M0, pStage III). Computed tomography showed a swollen paraaortic lymph node about 6 years later. Positron emission tomography also indicated lymph node metastasis. The patient was treated with surgery, and the lymph node was diagnosed to be metastasis of esophageal cancer. Surgery was followed by chemotherapy with nedaplatin and 5-fluorouracil. The patient has remained alive more than 5 years after surgery without any evidence of recurrence. Although the optimal treatment for the recurrence region of esophageal cancer remains controversial, the current case suggests the possibility of performing a salvage resection for a lymph node recurrence of esophageal cancer in selected patients
Esophagus DOI 10.1007/s10388-011-0285-5 Received: 16 March 2011 / Accepted: 6 July 2011
