Distant lymph node metastases caused by esophageal cancer invasion to the lamina propria: a case report

نویسندگان

  • Satoshi Tsutsumi
  • Hiroshi Saeki
  • Yuichiro Nakashima
  • Yu Nakaji
  • Kensuke Kudou
  • Ryosuke Tsutsumi
  • Sho Nishimura
  • Shingo Akiyama
  • Hirotada Tajiri
  • Takafumi Yukaya
  • Kimihiro Tanaka
  • Ryota Nakanishi
  • Masahiko Sugiyama
  • Kippei Ohgaki
  • Hideto Sonoda
  • Minako Hirahashi
  • Eiji Oki
  • Masaru Morita
  • Yoshinao Oda
  • Yoshihiko Maehara
چکیده

BACKGROUND Pathological examination after endoscopic submucosal dissection revealed that a 62-year-old male had esophageal squamous cell carcinoma with lamina propria mucosal invasion and lymphatic permeation. CASE PRESENTATION The patient underwent subtotal esophagectomy and reconstruction as an additional therapy. At 3 years and 4 months after esophagectomy, enlargement of abdominal para-aortic lymph nodes metastases was detected by computed tomography scanning. A total of 50.4 Gy of radiation and two cycles of 5-fluorouracil plus cisplatin were administered. The lymph node metastases were markedly reduced by chemoradiotherapy; however, at 1 year and 1 month later (4 years and 5 months after esophagectomy), left adrenal gland recurrence was found. Although resection was performed, the patient died from cancer progression at 5 years and 4 months after esophagectomy. CONCLUSIONS This case demonstrates that esophageal squamous cell carcinoma with invasion to the lamina propria and lymphatic permeation has the potential to cause distant metastases.

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عنوان ژورنال:

دوره 2  شماره 

صفحات  -

تاریخ انتشار 2016