Salvage Surgery after Definitive Chemoradiotherapy for Esophageal Cancer in a Patient Surviving Colon and Gastric Cancer Surgeries

Akio Shiomi, Mitsuyo Nishimura, Hiroyuki Daiko, Junji Yoshida, Norio Saito¹⁾, Atsushi Ochiai²⁾ and Kanji Nagai

Division of Thoracic Surgery and Division of Colorectal and Pelvic Surgery¹⁾, National Cancer Center Hospital East
Division of Pathology, National Cancer Center Research Institute East²⁾

A 68-year-old male with a past history of right hemicolectomy for ascending colon cancer at 60 years of age and distal gastrectomy for gastric cancer at 66 years of age developed dysphagia at 67 years of age. Squamous cell cancer of the lower thoracic esophagus was diagnosed, and definitive chemoradiotherapy resulted in a complete response. However, locoregional recurrence developed one year later, and we performed salvage esophagectomy, lymph node dissection and reconstruction using pedicled jejunum with additional microvascular anastomosis. No major postoperative complications occurred. But he died of multiple lymphnodes, liver metastasis and lung metastasis after nine months of the surgery. To our knowledge, this is the first report of salvage esophageal cancer surgery in a patient who had survived after surgeries for colon cancer and gastric cancer.

Key words
esophageal cancer, salvage surgery, reconstruction

Reprint requests
Akio Shiomi Division of Thoracic Surgery, National Cancer Center Hospital East
6-5-1 Kashiwanoha, Kashiwa, 277-8577 JAPAN

Accepted
February 22, 2006

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