Successful treatment of esophageal cancer with transhiatal esophagectomy after heart transplantation.
A 55-year-old heart transplant recipient with reflux esophagitis presented for routine endoscopic surveillance of an area of Barrett's metaplasia initially seen 3 years previously. Esophagogastroduodenoscopy revealed adenocarcinoma at 33 cm from the incisors. The preoperative clinical stage was T1N0M0 by endoscopic ultrasound. Transhiatal esophagectomy was performed with R0 resection of the cancer, and the patient recovered uneventfully. Pathologic examination confirmed esophageal adenocarcinoma (T1N0M0) in Barrett's mucosa. The patient is doing well, and has no evidence of disease after 18 months.
Department of Surgery, Temple University School of Medicine, 3401 N. Broad Street, Philadelphia, Pennsylvania 19140, USA.
Dipin
D
Gupta
Mahender
M
Macha
Valentino
V
Piacentino
Arun K
AK
Singhal
Harvey F
HF
Sasken
Satoshi
S
Furukawa
Daniel T
DT
Dempsey
D000230:Adenocarcinoma / Q000150:complications / Q000601:surgery*; D000714:Anastomosis, Surgical; D001471:Barrett Esophagus / Q000150:complications; D004938:Esophageal Neoplasms / Q000150:complications / Q000601:surgery*; D016629:Esophagectomy; D004942:Esophagitis, Peptic / Q000150:complications; D004947:Esophagus / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D016027:Heart Transplantation; D006551:Hernia, Hiatal / Q000150:complications; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D011708:Pylorus / Q000601:surgery; D012074:Remission Induction; D013270:Stomach / Q000601:surgery