Chemoradiotherapy for solitary skeletal muscle metastasis from oesophageal cancer: Case report and brief literature review

Yoshiaki Fujimoto, Yuichiro Nakashima, Shun Sasaki, Tomoko Jogo, Kosuke Hirose, Keitaro Edahiro, Shotaro Korehisa, Daisuke Taniguchi, Kensuke Kudou, Yu Nakaji, Ryota Nakanishi, Koji Ando, Hiroshi Saeki, Eiji Oki, Minako Fujiwara, Yoshinao Oda, Yoshihiko Maehara

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Abstract

Background: The incidence of skeletal muscle metastasis from oesophageal cancer is very low, and the treatment strategy has not been established. Case Report: A 77-year-old man underwent oesophagectomy following neoadjuvant chemotherapy for oesophageal squamous cell carcinoma (CT-pT3 N0 M0, CT-pStage II). Fourteen months after surgery, he became aware of a subcutaneous tumour in his left forearm. Computed tomography and fluorodeoxyglucose positron-emission tomography revealed a 65×75 mm intramuscular nodular lesion with a standardized uptake value of 8.5. Further examination by biopsy strongly suggested this was a solitary metastasis from oesophageal cancer. The patient received chemoradiotherapy with two cycles of 5- fluorouracil combined with cisplatin and radiation. Clinical complete response was confirmed by imaging 7 months after chemoradiation and no recurrence has occurred at 20 months since chemoradiation. Conclusion: Radiotherapy or chemoradiotherapy can be an alternative locoregional therapy to surgery for solitary skeletal muscle metastasis.

Original languageEnglish
Pages (from-to)5687-5691
Number of pages5
JournalAnticancer research
Volume37
Issue number10
DOIs
Publication statusPublished - Oct 2017

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

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    Fujimoto, Y., Nakashima, Y., Sasaki, S., Jogo, T., Hirose, K., Edahiro, K., Korehisa, S., Taniguchi, D., Kudou, K., Nakaji, Y., Nakanishi, R., Ando, K., Saeki, H., Oki, E., Fujiwara, M., Oda, Y., & Maehara, Y. (2017). Chemoradiotherapy for solitary skeletal muscle metastasis from oesophageal cancer: Case report and brief literature review. Anticancer research, 37(10), 5687-5691. https://doi.org/10.21873/anticanres.12005