A Case Report of Thyroid Cancer with Total Esophagectomy

Hajime Abe, Koji Okino, Hirotaka Sako, Haruaki Ishibashi, Nobukuni Terata, Junsuke Shibata, Masashi Kodama, Yoshihiro Nakane*

First Department of Surgery, Shiga University of Medical Science
*Department of Surgery, Omihachiman Municipal Hospital

A 33-year-old man had recurrent thyroid cancer that was resected by total esophagectomy and reconstructed by pharyngogastrostomy. He received a left partial lobectomy because of thyroid cancer in 1985, and was admitted to our department with the chief complaint of a neck tumor. Neck ultrasonography, computed tomography and magnetic resonance imaging showed recurrent thyroidal papillary carcinoma with esophageal invasion. Since the thyroid cancer directedly invaded the cervical esophagus for 5 cm, subtotal thyroidectomy and resection of the cervical esophagus were performed. Reconstruction with a segmental free jejunum was impossible, because there were no anastomosed vessels. Therefore we performed total esophagectomy and pharyngogastrostomy. Though the prognosis of differentiated thyroid cancer is relatively good, in the case of invasion to the circumference, radical resection should be performed.

Key words
papillary carcinoma of thyroid, direct invasion to esophagus from thyroid carcinoma, pharyngoesophageal reconstruction

Reprint requests
Hajime Abe First Department of Surgery, Shiga University of Medical Science
Seta-Tsukinowa, Otsu, 520-21 JAPAN

Accepted
December 10, 1991

To read the PDF file you will need Abobe Reader installed on your computer.