Primary small‐cell carcinoma of the oesophagus with spontaneous oesophageal perforation following chemotherapy

Abstract

The authors describe a 66 year old woman with small-cell carcinoma of the oesophagus who developed a perforation following chemotherapy. Small-cell carcinoma of the oesophagus is a rare neoplasm, varying in appearance from a small mucosal lesion to a larger fungating mass, which in our patient presented as a bulky soft-tissue mass causing stricture. Pleural fluid collections which developed via a spontaneous oesophageal-pleural fistula were subsequently drained using percutaneously placed catheters. Radiologic management of this condition provided a successful and cost-effective means of patient care.

Small cell carcinoma in the esophagus rapidly developing multiple fistulae

“…The esophageal perforation resulted in esophagopleural fistula. However, their patient was discharged after esophageal stenting [14]. Ohtsu et al reported a patient having SCCE with an esophagomediastinal fistula.…”

Intramural Hematoma of the Esophagus

“…The prognosis is excellent with conservative treatment [6]. Intramural hematoma of the esophagus can also be misdiagnosed as other digestive pathologies such as perforated peptic ulcer and pancreatitis [6], cardiac or vascular diseases such as ischemic heart disease, dissection or aneurysm rupture of the thoracic aorta [3] or pulmonary embolism [9], or pulmonary lesions such as pneumothorax [10]. …”

Carcinoma de Pequena Células em Esôfago: Relato de Caso e Revisão

“…Esta alternativa de tratamento proposta por Casas e colegas, permitiu uma sobrevida de 6 anos em um paciente (24). Ainda tomando como base o uso de quimioterapia de forma semanal, por um período não inferior a 16 semanas, seguido de fungóide (17). optando por uma conduta radical mesmo nos casos de doença metastática.…”