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Right arrow Esophagus - cancer

J Thorac Cardiovasc Surg 2003;125:1561-1562
© 2003 The American Association for Thoracic Surgery

Brief Communications

Second primary double carcinomas of the residual cervical esophagus and the gastric tube after thoracic esophagectomy

Yoshifumi Ikeda, MD, Shoichi Tobari, MD, Masanori Niimi, MD, PhD, Susumu Kodaira, MD, Kota Okinaga, MD Tokyo, Japan

From the Departments of Surgery, Teikyo University School of Medicine, Tokyo, Japan.

Received for publication Sept 4, 2002. Accepted for publication Oct 8, 2002. Address for reprints: Yoshifumi Ikeda, MD, Department of Surgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo 173-8605, Japan (E-mail: yikeda@med.teikyo-u.ac.jp).

The first 20% of the full text of this article appears below.

Recent significant advances in therapy for esophageal carcinoma have contributed to long-term survival, with some patients having secondary and multiple malignancies. Patients with squamous cell esophageal carcinoma are generally older, smokers, and alcohol drinkers, and they face a high risk of development of other tumors, such as head and neck carcinoma.Go Go 1,2 In the procedure of subtotal esophagectomy, a small segment of the proximal esophagus is left to form the anastomosis with the substitution. Therefore there is a risk of development of a second neoplasm in the proximal remnant esophagus in patients who survive the first esophageal carcinoma. Secondary carcinoma in a reconstructed gastric tube after esophagectomy has also received much attention because the incidence of gastric carcinoma is more frequently than in any other organ.Go 3 In this report we describe second primary double carcinomas of the residual cervical esophagus and the gastric tube after thoracic esophagectomy.

Clinical summary

A 72-year-old man was admitted to our department with persistent midthoracic pain, mild dysphagia, and a weight loss of 5 kg during the previous 3 months. He had smoked 20 cigarettes a day for 40 years . . . [Full Text of this Article]




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Primary gastric cancer in an oesophageal gastric graft after oesophagectomy
Eur J Cardiothorac Surg, November 1, 2011; 40(5): 1181 - 1184.
[Abstract] [Full Text] [PDF]


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