Walsh Siun M, Maphango Nomsa, Egan Jim J, Reynolds John V
St James's Hospital, Dublin, Ireland.
Mater Misericordiae Hospital, Dublin, Ireland.
BMJ Case Rep. 2015 Nov 3;2015:bcr2015210342. doi: 10.1136/bcr-2015-210342.
We present the first reported case of successful surgical management of esophageal cancer post-lung transplantation for cystic fibrosis. This case of a 42-year-old man highlights the risk factors for esophageal adenocarcinoma associated with cystic fibrosis and lung transplantation, the management options for early esophageal cancer and the surgical option chosen to minimise respiratory risks. Individualised patient care may allow for curative surgical approaches, even where complex surgery is required.
我们报告了首例成功通过手术治疗囊性纤维化患者肺移植术后食管癌的病例。该42岁男性病例突出了与囊性纤维化和肺移植相关的食管腺癌风险因素、早期食管癌的治疗选择以及为将呼吸风险降至最低而选择的手术方案。个体化的患者护理即使在需要复杂手术的情况下也可能允许采用根治性手术方法。