2016
DOI: 10.1016/j.ijscr.2016.10.048
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Minimally invasive resection of synchronous triple primary tumors of the esophagus, lung, and thymus: A case report

Abstract: HighlightsWe firstly report a patient of synchronous esophagus and lung cancer with thymoma.The video-assisted esophagectomy and VATS lobectomy and thymomectomy in a single operation are feasible and safe.Our case illustrates a dilemma: what to do and what to expect when managing a patient with triple primary tumors.Good clinical outcomes could be achieved with minimally invasive surgery.

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Cited by 9 publications
(7 citation statements)
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“…They are most frequently encountered in male patients between the ages of 50 and 60, and histopathology is usually evaluated as squamous cell carcinomas. [3] Synchronous lung tumor can usually be evaluated as metastasis in the first evaluation. However, after a detailed histopathological evaluation, they can be diagnosed as a second primary tumor, if one or more of the following criteria is fulfilled: (i) If the synchronous lung tumor is of a different histological type; (ii) if there is a lung tumor present before an esophageal tumor; and (iii) if a solitary lesion with endobronchial spread and/or irregular borders is detected radiologically, then asynchronous primary lung tumor should be mentioned.…”
Section: Discussionmentioning
confidence: 99%
“…They are most frequently encountered in male patients between the ages of 50 and 60, and histopathology is usually evaluated as squamous cell carcinomas. [3] Synchronous lung tumor can usually be evaluated as metastasis in the first evaluation. However, after a detailed histopathological evaluation, they can be diagnosed as a second primary tumor, if one or more of the following criteria is fulfilled: (i) If the synchronous lung tumor is of a different histological type; (ii) if there is a lung tumor present before an esophageal tumor; and (iii) if a solitary lesion with endobronchial spread and/or irregular borders is detected radiologically, then asynchronous primary lung tumor should be mentioned.…”
Section: Discussionmentioning
confidence: 99%
“…The validity of simultaneous surgical treatment of NSCLC and thymoma has been documented, but published case reports are few and have not involved adjuvant treatment [3].…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, we also selected the left thoracoscopic approach because the lesions were located on the left (left lung and left side of the lower esophagus) and a one‐sided thoracoscopic approach for both lesions was less invasive. There have been few reports concerning simultaneous thoracoscopic operations for two lesions, and there has been only one report about simultaneous, minimally invasive resection of lung and esophageal tumors (combined with thymoma) in the literature .…”
Section: Discussionmentioning
confidence: 99%