Five-year survival after transhiatal resection of esophageal carcinoid tumor with a lymph node metastasis.
BACKGROUND
Carcinoid tumors of the esophagus are rare. Most reported cases have had a poor prognosis. The authors report the case of a 64-year-old man with a 4-cm carcinoid tumor of the lower esophagus.


METHODS
Following endoscopic resection of an argyrophilic, nonargentaffin, carcinoid tumor of the lower esophagus, endosonography showed residual tumor, suggestive of a metastatic lymph node. The findings were confirmed at transhiatal esophagectomy.


RESULTS
No recurrence has been observed along the current 5-year follow-up.


CONCLUSIONS
Lymph node metastasis does not rule out the possibility of prolonged survival in esophageal carcinoids. Endosonography is strongly advisable for preoperative evaluation.
Partensky
C
C
Département des Spécialités Digestives, Hôpital Edouard Herriot, Lyon, France.
Chayvialle
J A
JA
Berger
F
F
Souquet
J C
JC
Moulinier
B
B
D002276:Carcinoid Tumor / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D015996:Survival Rate