Long-term disease-free survival after resection of recurrent tumor of esophageal cancer with surrounding multiple visceral organs: a case report
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- Toyokazu Akimori
- Department of Surgery, Hata-Kenmin Hospital
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- Maeda Hiromichi
- Department of Surgery I, Kochi University
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- Kamioka Norihito
- Department of Surgery, Hata-Kenmin Hospital
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- Kanagawa Toshichika
- Department of Surgery, Hata-Kenmin Hospital
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- Tsuda Susumu
- Department of Surgery, Hata-Kenmin Hospital
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- Tsuda Sachi
- Department of Surgery, Hata-Kenmin Hospital
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- Takeshita Atsunori
- Takeshita Hospital
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- Kobayashi Michiya
- Department of Surgery I, Kochi University
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- Hanazaki Kazuhiro
- Department of Surgery I, Kochi University
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<p>Background: The benefit of resecting recurrent tumor after curative esophagectomy for esophageal cancer remains unclear, especially when it requires resection of multiple visceral organs. <br>Case presentation: A 56-year-old male patient with previous history of surgical treatment for esophageal achalasia 21 years before was referred to our hospital for treatment of lower thoracic esophageal cancer. He underwent a thoracoscopic esophagectomy and laparoscopic gastric mobilization with curative intent. Nine months after the operation, abdominal computed tomography revealed an intraperitoneal abscess formed along the distal part of the splenic artery. Percutaneous drainage of the abscess and cytological examination diagnosed the tumor as recurrent squamous cell carcinoma from the esophageal cancer. For symptom alleviation and potential cure, the recurrent nodule together with the pancreatic tail, spleen, and left adrenal grand were resected. The pathological examination confirmed recurrent esophageal cancer at the splenic hilar. Three years later, the patient remains disease free. <br>Conclusion: We experienced a case with metastatic recurrence of lower thoracic esophageal cancer to the hilar of the spleen. When tumor recurrence of esophageal cancer is solitary, an aggressive surgical treatment with multiple-organ resection potentially results in long-term disease-free survival in selected patients.</p>
収録刊行物
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- Annals of Cancer Research and Therapy
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Annals of Cancer Research and Therapy 25 (1), 12-14, 2017
日本癌病態治療研究会
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詳細情報 詳細情報について
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- CRID
- 1390001205189194368
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- NII論文ID
- 130005548855
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- ISSN
- 18805469
- 13446835
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可