Petroianu Andy, Sabino Kelly Renata, Nunes Maurício Buzelin
Department of Surgery, School of Medicine, Federal University, Minas Gerais, Brazil.
Department of Surgery, School of Medicine, Federal University, Minas Gerais, Brazil.
Int J Surg Case Rep. 2018;49:34-36. doi: 10.1016/j.ijscr.2018.05.028. Epub 2018 Jun 15.
Synchronous multiple primary malignancies of the esophagus and other organs are relatively unusual, but only five articles have published two synchronous cancers, both in the esophagus. This is the first published case of a triple esophageal carcinoma.
A 43-year-old man was referred to our hospital with severe progressive dysphagia and epigastric pain for almost one year. Endoscopy and imaging exams revealed three tumors located in upper, middle and lower esophagus. The upper and middle esophageal cancers were irresectable, and the patient was treated with radio- and chemotherapy. He survived 11 months after the diagnosis and died due to severe undernutrition and bilateral pneumonia.
In presence of squamous cell carcinoma of the esophagus, propedeutics should be carefully performed in order to verify the occurrence of other synchronous tumors in the esophagus and other organs, mainly head and neck and bronchial regions.
食管与其他器官的同步多原发性恶性肿瘤相对少见，但仅有5篇文献报道过食管内的2例同步癌。本文首次报道了1例食管三重癌病例。
一名43岁男性因严重进行性吞咽困难和上腹部疼痛近一年转诊至我院。内镜检查和影像学检查发现食管上、中、下段各有一个肿瘤。食管上段和中段癌无法切除，患者接受了放疗和化疗。确诊后存活11个月，死于严重营养不良和双侧肺炎。
对于食管鳞状细胞癌患者，应仔细进行前期检查，以确认食管及其他器官（主要是头颈部和支气管区域）是否存在其他同步肿瘤。
