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J Thorac Cardiovasc Surg 2007;134:524-525
© 2007 The American Association for Thoracic Surgery

Brief Communication

Esophageal atypical carcinoid tumor with tracheal invasion

^a Division of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
^b Department of Pathology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.

Received for publication January 15, 2007; revisions received February 17, 2007; accepted for publication February 23, 2007.

^_* Address for reprints: Yung-Chie Lee, MD, PhD, Professor, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, No.7, Jhong-Shan S Rd, Taipei, Taiwan 100. (Email: wuj@ha.mc.ntu.edu.tw).

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

Drs Chen, Chang, Lee, and Pan (left to right)

Carcinoid tumors of the gastrointestinal tract are distinctive endocrine neoplasms commonly found in the small bowel and appendix; however, they are exceedingly uncommon in the esophagus. It was first reported in 1974 that esophageal carcinoids arise from the argyrophil endocrine cells, which are amine precursor uptake and decarboxylation cells of the mucosa.¹ The aggressiveness of atypical carcinoid of the esophagus often precludes the use of limited surgical resection and requires adjuvant chemoradiotherapy.² Here we report our successful palliative management of an advanced esophageal atypical carcinoid with tracheal invasion using a covered Ultraflex expandable metallic tracheal stent (Boston Scientific, Galway, Ireland) and oral thalidomide.

Clinical Summary

A 73-year-old man presented with a 6-month history of progressive dysphagia and 2-kg body weight loss. At the time of presentation, full diet was still tolerable but with a slow pace. No clinical features of carcinoid syndrome were noted. The esophagoscopic examination revealed a 1.7-cm polypoid mass at the upper-third esophagus, 20 . . . [Full Text of this Article]