TY - JOUR
T1 - [Successful multidisciplinary treatment of a case of lymph node recurrence with invasion to adjacent organs after curative resection of esophageal cancer].
AU - Murakami, Kohei
AU - Miyata, Hiroshi
AU - Yamasaki, Makoto
AU - Miyazaki, Yasuhiro
AU - Takahashi, Tsuyoshi
AU - Kurokawa, Yukinori
AU - Takiguchi, Shuji
AU - Nakajima, Kiyokazu
AU - Mori, Masaki
AU - Doki, Yuichiro
PY - 2013/11
Y1 - 2013/11
N2 - In the present report, we describe a case of a woman who underwent esophagectomy for esophageal carcinosarcoma in October 2008. Computed tomography (CT) and endoscopy indicated lymph node recurrence with invasion into adjacent organs and oropharyngeal carcinoma in September 2009. She subsequently received 2 courses of chemotherapy (5-fluorouracil+ cisplatin+adriamycin) plus radiotherapy with a total dose of 60 Gy. Although a partial response was achieved after this treatment, CT still indicated the presence of residual lesions. Therefore, surgical excision was performed at the site of the lymph node recurrence and for oropharyngeal carcinoma. Thus, we performed a radical operation by resecting the skin, sternum, clavicle, ribs, innominate vein, bronchus, oropharyngeal, larynx, and lymph node; transplanted a free thigh flap; and performed a mediastinal tracheostomy. She has been alive without recurrence for 3 years and 4 months after the operation.
AB - In the present report, we describe a case of a woman who underwent esophagectomy for esophageal carcinosarcoma in October 2008. Computed tomography (CT) and endoscopy indicated lymph node recurrence with invasion into adjacent organs and oropharyngeal carcinoma in September 2009. She subsequently received 2 courses of chemotherapy (5-fluorouracil+ cisplatin+adriamycin) plus radiotherapy with a total dose of 60 Gy. Although a partial response was achieved after this treatment, CT still indicated the presence of residual lesions. Therefore, surgical excision was performed at the site of the lymph node recurrence and for oropharyngeal carcinoma. Thus, we performed a radical operation by resecting the skin, sternum, clavicle, ribs, innominate vein, bronchus, oropharyngeal, larynx, and lymph node; transplanted a free thigh flap; and performed a mediastinal tracheostomy. She has been alive without recurrence for 3 years and 4 months after the operation.
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M3 - Article
C2 - 24394031
AN - SCOPUS:84897018949
VL - 40
SP - 2115
EP - 2117
JO - Quaternary International
JF - Quaternary International
SN - 1040-6182
IS - 12
ER -