Gastric tube resection due to metachronic cancer and a recurrence in anastomosis after Ivor-Lewis esophagectomy – case report

Jabłoński, Sławomir; Piskorz, Łukasz; Wawrzycki, Marcin

doi:10.1186/1477-7819-10-83

Cited by 9 publications

(6 citation statements)

References 12 publications

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“…The development of multimodal treatment protocols has significantly decreased the locoregional recurrence rates [1,2]. Surgical resection is the treatment of choice for carcinoma of the thoracic and/or abdominal esophagus and should be considered as the standard treatment for the early stages of the disease independently of investigative multimodal therapy protocols because it is associated with the highest survival rates [24,25]. Esophagectomy is associated with a high mortality rate (approximately 8 %), which is mostly due to postoperative complications such as anastomotic fistulas, subphrenic abscesses and respiratory complications [24].…”

Section: Treatmentmentioning

confidence: 99%

Unusual relationship between skin lesions and esophageal cancer: a case report and review of literature

Racionero¹,

Asenjo²,

Nunez³

et al. 2015

Z Gastroenterol

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Esophageal cancer is a rare disease. In Spain, this tumor is the third most common gastrointestinal malignancy after colorectal and gastric cancer. Esophageal adenocarcinoma metastasizes to the skin with an incidence of 1 %, generally located in the neck, head and abdomen. It usually occurs in the overlying skin of the primary tumor, but may also appear in a distant site, the scalp being the most common place. Although the pathogenesis of esophageal adenocarcinoma is not well known, the existence of genetic alterations, such as the suppressor gene, has been proved and the involvement of oncogene c-erbB-2 amplified. Cytokeratin 20 and 7 are expressed in esophageal adenocarcinoma. Typically, cutaneous metastases from internal malignancy present as firm asymptomatic nodules. These nodules usually occur in multiple arrays on the skin adjacent to the primary tumor; however, they can occasionally become painful spontaneously. The main diagnostic test of esophageal cancer is the upper endoscopy, along with histopathology for confirmation of the tumor. The developments in surgery and the discovery of new cytotoxic agents have considerably decreased the locoregional recurrence. To date, the combination of these treatment modalities for advanced adenocarcinoma revealed that the recurrences mainly occur from hematic spread. Excision of the skin lesions produces pain palliation. In patients diagnosed with esophageal cancer who have responded satisfactorily to treatment with chemotherapy, radiation and surgery while having a long history of remission, and dermatology outpatient visits by the appearance of skin lesions, should make us think among the different differential diagnoses, the possibility of cutaneous metastases.

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Section: Treatmentmentioning

confidence: 99%

Unusual relationship between skin lesions and esophageal cancer: a case report and review of literature

Racionero¹,

Asenjo²,

Nunez³

et al. 2015

Z Gastroenterol

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“…The stomach remains the most accepted method of reconstruction of the alimentary tract following an esophagectomy in cancer patients [4,[8][9][10][11]. Although rare entities, the number of reported cases of metachronous gastric tube cancers (hereinafter GTC) has increased in the last years due to improved therapy and screening [2].…”

Section: Introductionmentioning

confidence: 99%

Metachronous Gastric Tube Cancer After Esophagectomy with Gastric Pull-Up – Case Report

Jorge¹,

Müller²,

Gafarli³

et al. 2020

SCR

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The progresses in the therapy and methods of diagnosis of malignancies led to a prolonged survival and, consequently, to an increase in secondary tumors in cancer survivor patients [1-7]. We report the case of a 64-year-old patient who was diagnosed with a second primary adenocarcinoma in the gastric conduit, more than two years after the esophagectomy with gastric pull-up. We performed a resection of the gastric conduit and reconstructed with an ileocolon interposition.

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“…Similarly, Strong et al proposed the concept of "field cancerization" several decades ago. This theory suggests that exposure of the digestive tract to toxins, most notably tobacco or alcohol, may promote metaplasia and carcinogenesis [13,14]. There is evidence that tobacco, but not alcohol, increases the risk of esophageal adenocarcinoma, particularly in patients with Barrett's esophagus [15].…”

Section: Introductionmentioning

confidence: 99%

Primary Gastric Conduit Cancer 10 Years after Esophagectomy for Esophageal Adenocarcinoma

Lou

Farma

2018

SCSOAJ

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Gastric tube resection due to metachronic cancer and a recurrence in anastomosis after Ivor-Lewis esophagectomy – case report

Cited by 9 publications

References 12 publications

Unusual relationship between skin lesions and esophageal cancer: a case report and review of literature

Unusual relationship between skin lesions and esophageal cancer: a case report and review of literature

Metachronous Gastric Tube Cancer After Esophagectomy with Gastric Pull-Up – Case Report

Primary Gastric Conduit Cancer 10 Years after Esophagectomy for Esophageal Adenocarcinoma

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