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J Thorac Cardiovasc Surg 2004;127:1835-1836
© 2004 The American Association for Thoracic Surgery

Brief communication

Transhiatal esophagogastrectomy for an isolated ovarian cancer metastasis to the esophagus

John C. Haney, MDa, Thomas A. D'Amico, MDa,*

a Duke University Medical Center, Durham, NC, USA

Received for publication December 9, 2003; revisions received January 2, 2004; accepted for publication January 13, 2004.

* Address for reprints: Thomas A. D'Amico, MD, Associate Professor of Surgery, Duke University Medical Center, Box 3496, Durham, NC 27710, USA
damic001@mc.duke.edu

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

Secondary involvement of the esophagus by malignancy is rare, occurring in patients with cancer at an estimated incidence of 1% to 6%.1-3 Although primary cancers of the lung and breast are most commonly responsible, other primary sites have included tumors of the prostate, skin, kidney, bladder, rectum, pancreas, thyroid, liver, and endometrium.3,4 Esophageal metastasis from ovarian cancer has been reported in only 1 case, in which the metastasis occurred 16 years after initial tumor resection and was treated with partial esophagectomy.1,2 This report describes a case of metastatic ovarian cancer to the esophagus after a 4-year disease-free interval.

Clinical summary

A 58-year-old woman had a 2-month history of dysphagia. Four years previously, she had undergone complete resection of a 21-cm clear cell ovarian neoplasm with positive bilateral pelvic and periaortic lymph nodes, followed by chemotherapy. Computed tomographic scan 1 year after surgery demonstrated no progression, and the patient remained free of symptoms until the dysphagia developed.

A . . . [Full Text of this Article]






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