Port site recurrence of esophageal adenocarcinoma after minimally invasive esophagectomy: a case report

Abstract

Background: Port site recurrence has been observed after a variety of oncologic resection procedures. However, few have reported port site recurrence of esophageal cancer. Case presentation: A 51-year-old man underwent minimally invasive esophagectomy for pT3(AD)N3M0 adenocarcinoma of the esophagus. One year after surgery, he presented with a rapidly growing tumor on the right thoracic wall. Contrast computed tomography demonstrated an enhancing tumor with uptake on positron emission tomography. We performed resection of the thoracic wall, including the skin and subcutis. The pathologic diagnosis was poorly differentiated adenocarcinoma, consistent with metastasis of esophageal origin. Conclusion: This was the first report on thoracic port site recurrence of esophageal adenocarcinoma. We recommend elimination of leakage around the thoracoscopic ports to prevent such recurrence. We should provide prudent postoperative clinical surveillance.

The Chest Wall Mass of Unknown Origin: A Rare Presentation of Esophageal Adenocarcinoma

“…Our case demonstrates a rare presentation of EAC with metastasis to the chest wall that adds to the few reported cases in the literature [ 3 - 4 , 7 - 10 ]. While EAC commonly metastasizes to the liver and lungs, there are other locations to which it only rarely metastasizes, such as the subcutaneous region.…”

Successful resection of port site recurrence of pancreatic ductal adenocarcinoma after laparoscopic distal pancreatectomy

“…According to previous reports, the main therapeutic strategy of PSR may be chemotherapy, radiotherapy, or surgical resection [ 23 , 24 ]. Several reports have described successful local resection of PSR that had occurred without peritoneal dissemination and/or distant metastasis.…”

“…Several reports have described successful local resection of PSR that had occurred without peritoneal dissemination and/or distant metastasis. These patients achieved long-term survival after PSR resection [ 4 , 23 , 26 ]. Wang et al [ 27 ] suggested that surgical resection is an effective treatment for PSR without another peritoneal dissemination.…”