title: Resection of carcinoma in the cervical esophagus following prior removal of a thoracic esophageal carcinoma--a case report.
abstract: We report herein, a rare case of a patient who, having undergone resection of a thoracic esophageal cancer, underwent removal of a cervical esophageal cancer, for which a free jejunal graft with microvascular anastomoses was utilized. The tumor in the cervical esophagus had originated from a second primary squamous cell cancer, which had occurred synchronously but had unfortunately escaped detection before the first operation. Due to the high incidence of other multicentric neoplasma or metastatic skip lesions accompanying esophageal carcinoma, careful evaluation during preoperative examinations in order to avoid overlooking another lesion, especially in the cervical portion of the esophagus is imperative.
authors.affiliation: Second Department of Surgery, Faculty of Medicine, University of Tokyo, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Konishi
authors.forename: K
authors.initials: K
authors.lastname: Mafune
authors.forename: T
authors.initials: T
authors.lastname: Hirata
authors.forename: M
authors.initials: M
authors.lastname: Takagi
authors.forename: Y
authors.initials: Y
authors.lastname: Ushirokoji
authors.forename: Y
authors.initials: Y
authors.lastname: Idezuki
authors.forename: K
authors.initials: K
authors.lastname: Harii
authors.forename: M
authors.initials: M
authors.lastname: Asai
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D003680:Deglutition Disorders / Q000601:surgery; D004938:Esophageal Neoplasms / Q000601:surgery*; D004940:Esophageal Stenosis / Q000601:surgery; D005260:Female; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation