Lymph node metastases identified with mediastinoscopy in a patient with superficial carcinoma of the esophagus |
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| Authors: | Tangoku A Hayashi H Kanamura S Yoshino S Abe T Yoshimoto Y Morioka T Oka M |
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| Affiliation: | Department of Surgery II, Yamaguchi University School of Medicine, 1-1-1 Minami-Kogushi, Ube, 755-8505, Japan. tangoku@po.cc.yamaguchi-u.ac.jp |
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| Abstract: | Superficial esophageal cancers limited to the lamina propria are not associated with lymph node metastases. Mediastinoscopic transhiatal esophagectomy was planned in a patient with widespread superficial cancer of the midthoracic esophagus. Sampling of the upper mediastinal lymph nodes revealed metastases. The operation was converted to a transthoracic esophagectomy with radical lymphadenectomy. Histopathologic examination of the resection specimen showed three metastatic lymph nodes, despite local invasion limited to the lamina propria. This is the first report of a patient with superficial esophageal cancer and lymph node metastases. |
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