[Squamous epithelial carcinoma in a Zenker diverticulum].
Zenker's diverticulum is a common anomaly in the elderly patient. Carcinoma in such a diverticulum is a rare but recognized complication of a posterior pharyngeal pulsion diverticulum. We present a case of a 67-year-old patient with a long-standing symptomatic Zenker's diverticulum. The diagnosis of the neoplasm was only achieved intraoperatively. The patient underwent a proximal esophageal resection with lymphadenectomy. Reconstruction was done with a microvascular free jejunal transplant. The postoperative course was uneventful. Wide oncologic surgical resection is the therapy of choice in cases of carcinoma in a Zenker's diverticulum.
Yekebas
E
E
Abteilung für Allgemeinchirurgie, Klinik und Poliklinik für Chirurgie, Universitätsklinikum Hamburg-Eppendorf.
Eisenberger
C F
CF
Jaekel
K T
KT
Schmelzle
R
R
Busch
C B
CB
Izbicki
J R
JR
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D002471:Cell Transformation, Neoplastic / Q000473:pathology; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy; D004947:Esophagus / Q000473:pathology; D006801:Humans; D007583:Jejunum / Q000637:transplantation; D008297:Male; D008866:Microsurgery; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D016672:Zenker Diverticulum / Q000473:pathology / Q000601:surgery*
Plattenepithelcarcinom in einem Zenker-Divertikel.