Acase of advanced colon cancer arising from a colonic graft foran esophago-bronchial fistula : A case report.

Autor: Takasugi H; Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Graduate School, Tokushima, Japan.; Department of General Surgery, JA Kochi Kouseiren, Kochi Japan., Yoshida T; Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Graduate School, Tokushima, Japan., Nishino T; Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Graduate School, Tokushima, Japan., Goto M; Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Graduate School, Tokushima, Japan., Inoue S; Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Graduate School, Tokushima, Japan., Matsumoto D; Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Graduate School, Tokushima, Japan., Inui T; Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Graduate School, Tokushima, Japan., Takizawa H; Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Graduate School, Tokushima, Japan., Tsuzuki H; Department of General Surgery, JA Kochi Kouseiren, Kochi Japan., Taniki T; Department of General Surgery, JA Kochi Kouseiren, Kochi Japan., Tangoku A; Department of General Surgery, JA Kochi Kouseiren, Kochi Japan.
Jazyk: angličtina
Zdroj: The journal of medical investigation : JMI [J Med Invest] 2019; Vol. 66 (1.2), pp. 190-193.
DOI: 10.2152/jmi.66.190
Abstrakt: Neoplasm of a colonic graft after esophageal reconstruction is rare. We treated a colon cancer patient who developed malignancy in a colonic graft after esophagectomy and reconstruction through a retrosternal route. A male had undergone esophagectomy in his 50s due to a benign esophago-bronchial fistula. His dysphagia became exacerbated 20 years later, and further examinations showed a circumferential tumor on the esophagocolonic anastomosis. He underwent resection of the colonic graft adenocarcinoma with median sternotomy after neoadjuvant chemotherapy. Gastric tube reconstruction was performed through a retrosternal route. This report should be informative in terms of making decisions from an initial reconstruction to follow-up and choosing a therapeutic strategy for colonic graft cancer in the future. J. Med. Invest. 66 : 190-193, February, 2019.
Databáze: MEDLINE