Resection of carcinoma in the cervical esophagus following prior removal of a thoracic esophageal carcinoma — A case report— |
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| Authors: | Toshiro Konishi Ken-ichi Mafune Toru Hirata Masakazu Takagi Yoshio Ushirokoji Yasuo Idezuki Kiyonori Harii Masao Asai |
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| Affiliation: | (1) The Second Department of Surgery, Faculty of Medicine, University of Tokyo, Hongo 7-3-1, Bunkyo-ku, 113 Tokyo, Japan;(2) The Department of Plastic and Reconstructive Surgery, Facutly of Medicine, University of Tokyo, Hongo 7-3-1, Bunkyo-ku, 113 Tokyo, Japan;(3) Department of Otolaryngolgy, Faculty of Medicine, University of Tokyo, Hongo 7-3-1, Bunkyo-ku, 113 Tokyo, Japan |
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| Abstract: | We report herein, a rare case of a patient who, having undergone resection of a thoracic esophageal cancer, underwent removal of a cervical esophageal cancer, for which a free jejunal graft with microvascular anastomoses was utilized. The tumor in the cervical esophagus had originated from a second primary squamous cell cancer, which had occurred synchronously but had unfortunately escaped detection before the first operation. Due to the high incidence of other multicentric neoplasma or metastatic skip lesions accompanying esophageal carcinoma, careful evaluation during preoperative examinations in order to avoid overlooking another lesion, especially in the cervical portion of the esophagus is imperative. |
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| Keywords: | free jejunal graft multiple esophageal carcinoma post thoracic esophagectomy cervical esophageal carcinoma |
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