Amini Afshin, Koury Elliot, Vaezi Zahra, Leathersich Ann, Zafar Sajid, Chahla Elie
Department of Medicine, St. Luke's Hospital, Chesterfield, MO, USA.
Department of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.
Gastroenterol Hepatol Bed Bench. 2020 Spring;13(2):184-187.
The most common sites of metastasis for esophageal cancers include the liver, lungs, and bones. We report a rare case of esophageal adenocarcinoma with metastasis to the subcutaneous perianal region as well as to the small bowel. Physicians should consider the possibility of metastasis in a patient with esophageal adenocarcinoma even after the onset of remission. It is essential to examine these patients and maintain a high index of suspicion for possible metastases. Early recognition helps in the accurate staging of the disease and enables the initiation of life-prolonging therapy and achieving meaningful palliation.
食管癌最常见的转移部位包括肝脏、肺和骨骼。我们报告了一例罕见的食管腺癌病例，其转移至肛周皮下区域以及小肠。即使在缓解期之后，医生也应考虑食管腺癌患者发生转移的可能性。对这些患者进行检查并保持对可能转移的高度怀疑至关重要。早期识别有助于准确进行疾病分期，并能启动延长生命的治疗并实现有效的姑息治疗。
