Abstract

Background

The treatment for the locally advanced esophageal cancer invading adjacent organs is controversial. We performed a radical surgery for a patient suffering from lower esophageal cancer with pancreatic invasion, and led to long-term survival.

Case presentation

A 62-year-old man with dysphagia, was endoscopically diagnosed lower esophageal cancer. Abdominal computed tomography shows that the tumor formed a mass with the solitary metastatic abdominal lymph node, which invaded pancreas body and gastric body. He was diagnosed locally advanced esophageal cancer cStage IIIC. As chemoradiotherapy was difficult because of the high risk of gastric mucosal damage, radical esophagectomy with distal pancreatectomy and reconstruction of gastric conduit were performed. The postoperative course was uneventful and the patient was discharged 16 days after operation. At present, 7 years after surgery, he is still alive with disease-free condition.

Conclusion

Esophagectomy with distal pancreatectomy may be feasible for locally advanced esophageal cancer with pancreatic invasion in terms of curability and long-term survival.

Details

Title
Long-term survival after esophagectomy with distal pancreatectomy for locally advanced esophageal cancer with pancreatic invasion: a case report
Author
Kaneko Yoshiki 1   VIAFID ORCID Logo  ; Hisakura Katsuji 2 ; Ogawa Koichi 2 ; Akashi Yoshimasa 2 ; Ohara Yusuke 2 ; Owada Yohei 2 ; Enomoto Tsuyoshi 2 ; Furuya Kinji 2 ; Moue Shoko 2 ; Doi Manami 2 ; Takahashi, Kazuhiro 2 ; Shimomura Osamu 2 ; Hashimoto Shinji 2 ; Sakamoto Noriaki 3 ; Maruyama Tsunehiko 1 ; Oda Tatsuya 2 

1  University of Tsukuba, Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Tsukuba, Japan (GRID:grid.20515.33) (ISNI:0000 0001 2369 4728); Mito Saiseikai General Hospital, Department of Surgery, Mito, Japan (GRID:grid.415975.b) (ISNI:0000 0004 0604 6886) 
2  University of Tsukuba, Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Tsukuba, Japan (GRID:grid.20515.33) (ISNI:0000 0001 2369 4728) 
3  University of Tsukuba, Department of Pathology, Tsukuba, Japan (GRID:grid.20515.33) (ISNI:0000 0001 2369 4728) 
Publication year
2021
Publication date
Dec 2021
Publisher
International Academic Publishing Co Ltd.
e-ISSN
21987793
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1186/s40792-021-01338-w
ProQuest document ID
2609866584
Copyright
© The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.