A Case of Reccurence of Cervical Esophageal Cancer after Definitive Chemoradiotherapy Underwent Photodynamic Therapy and Cervical Lymph Node Dissection

Seiichi Kawasaki, Hiroshi Sato, Yasuhiro Tsubosa, Hiroyuki Ono¹⁾ and Masanori Terashima²⁾

Department of Esophageal Surgery, Department of Endoscopy¹⁾ and Department of Gastric Surgery²⁾, Shizuoka Cancer Center Hospital

We report a case of esophageal perforation following photodynamic therapy (PDT) and cervical lymph node dissection for recurrent cervical esophageal cancer. A 72-year-old woman diagnosed with cervical esophageal cancer (cT2N0M0, stageII) had an initial "complete cure" response after definitive chemoradiotherapy. About 10 months later, however, she was diagnosed with locoregional failure and cervical lymph node metastasis, undergoing endoscopic mucosal resection and PDT for the primary site and cervical lymph node dissection 47 days later as salvage treatment. On postoperative day (POD) 2, she was diagnosed with esophageal perforation refractory to conservative therapy, necessitating pectoralis major myocutaneous flap surgery. The possibility of esophageal perforation after PDT for esophageal cancer should thus be considered even more than 1 month later.

Key words
photodynamic therapy, lymph node dissection, cervical esophageal cancer

Reprint requests
Seiichi Kawasaki Department of esophageal Surgery, Shizuoka Cancer Center Hospital
1007 Shimonagakubo, Nagaizumi, Suntogun, 411-8777 JAPAN

Accepted
May 27, 2009

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