[An effective treatment by chemoradiation therapy after stent insertion for advanced esophageal cancer with esophago-pulmonary fistula--report of a case].
We report the case of a 56-year-old male who was diagnosed as advanced esophageal cancer with esophago-pulmonary fistula and lung abscess. He received radiation therapy in combination with chemotherapy using cisplatin and 5-FU after insertion of a self-expanding metallic stent. He had sufficient food intake during the chemoradiotherapy (CRT). CRT was very effective for not only primary tumor but also lymph node metastasis, with resulting partial response. We could not detect any relapses and metastases for 8 months after CRT. The CRT after insertion of self-expanding metallic stent is one of the useful and palliative treatments for advance esophageal cancer with esophago-pulmonary fistula.
Dept. of Surgical Oncology and Digestive Surgery of Kagoshima University.
Koichi
K
Hanazono
Shoji
S
Natsugoe
Hiroshi
H
Okumura
Masataka
M
Matsumoto
Tetsuhiro
T
Oowaki
Tetsuro
T
Setoyama
Yoshiyuki
Y
Hiraki
Ken
K
Arimura
Fumihiko
F
Nakamura
Masataka
M
Nakajo
Takashi
T
Aikou
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000627:therapeutic use; D002294:Carcinoma, Squamous Cell / Q000188:drug therapy / Q000532:radiotherapy / Q000556:secondary / Q000628:therapy*; D002945:Cisplatin / Q000008:administration & dosage; D003131:Combined Modality Therapy; D004937:Esophageal Fistula / Q000150:complications*; D004938:Esophageal Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000532:radiotherapy / Q000628:therapy*; D004940:Esophageal Stenosis / Q000628:therapy; D005472:Fluorouracil / Q000008:administration & dosage; D006801:Humans; D008169:Lung Abscess / Q000150:complications*; D008171:Lung Diseases / Q000150:complications*; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D012074:Remission Induction; D016156:Respiratory Tract Fistula / Q000150:complications*; D015607:Stents
D002945:Cisplatin; D005472:Fluorouracil