微创食管切除术后食管腺癌的切口部位复发：一例报告
Port site recurrence of esophageal adenocarcinoma after minimally invasive esophagectomy: a case report.
作者信息
Horino Taichi, Baba Yoshifumi, Nomoto Daichi, Harada Kazuto, Hiyoshi Yukiharu, Nagai Yohei, Iwatsuki Masaaki, Iwagami Shiro, Miyamoto Yuji, Yoshida Naoya, Baba Hideo
机构信息
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
出版信息
Surg Case Rep. 2020 May 11;6(1):98. doi: 10.1186/s40792-020-00861-6.
BACKGROUND
Port site recurrence has been observed after a variety of oncologic resection procedures. However, few have reported port site recurrence of esophageal cancer.
CASE PRESENTATION
A 51-year-old man underwent minimally invasive esophagectomy for pT3(AD)N3M0 adenocarcinoma of the esophagus. One year after surgery, he presented with a rapidly growing tumor on the right thoracic wall. Contrast computed tomography demonstrated an enhancing tumor with uptake on positron emission tomography. We performed resection of the thoracic wall, including the skin and subcutis. The pathologic diagnosis was poorly differentiated adenocarcinoma, consistent with metastasis of esophageal origin.
CONCLUSION
This was the first report on thoracic port site recurrence of esophageal adenocarcinoma. We recommend elimination of leakage around the thoracoscopic ports to prevent such recurrence. We should provide prudent postoperative clinical surveillance.
背景
在各种肿瘤切除手术后均观察到了切口部位复发。然而，很少有关于食管癌切口部位复发的报道。
病例介绍
一名51岁男性因食管pT3(AD)N3M0腺癌接受了微创食管切除术。术后一年，他右侧胸壁出现一个快速生长的肿瘤。增强计算机断层扫描显示肿瘤强化，正电子发射断层扫描显示有摄取。我们对胸壁进行了切除，包括皮肤和皮下组织。病理诊断为低分化腺癌，与食管来源的转移一致。
结论
这是关于食管腺癌胸壁切口部位复发的首例报道。我们建议消除胸腔镜切口周围的渗漏以预防此类复发。我们应进行谨慎的术后临床监测。
Zotero 插件