title: Metastatic esophageal tumor from cecal carcinoma.
abstract: A 55-year-old man developed progressive dysphagia 14 months after palliative colectomy and subsequent systemic chemotherapy for advanced cecal cancer with carcinomatosis peritonei. Radiologic and endoscopic examinations suggested a submucosal tumor in the lower esophagus causing a severe luminal stricture. A self-expanding metal stent was placed for palliation. The prosthesis was effective for several months, but ingrowth of the tumor caused re-stricture of the esophagus. Since his general condition was quite good without any evidence of recurrence of the cecal cancer, we performed bypass surgery for palliation. The pathological appearance of the tumor was compatible with the metastasis of cecal cancer. Our case suggests that a surgical approach can be considered as a therapeutic method for metastatic esophageal tumor, even in patients with advanced cancer, as long as the primary tumor is satisfactorily controlled.
authors.affiliation: Department of Surgical Oncology, University of Tokyo Graduate School of Medicine, Tokyo, Japan.
authors.forename: Hideo
authors.initials: H
authors.lastname: Kagaya
authors.forename: Joji
authors.initials: J
authors.lastname: Kitayama
authors.forename: Akio
authors.initials: A
authors.lastname: Hidemura
authors.forename: Shoichi
authors.initials: S
authors.lastname: Kaisaki
authors.forename: Hironori
authors.initials: H
authors.lastname: Ishigami
authors.forename: Junko
authors.initials: J
authors.lastname: Takei
authors.forename: Takamitsu
authors.initials: T
authors.lastname: Kanazawa
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Nagawa
mesh_terms: D002430:Cecal Neoplasms / Q000473:pathology*; D004938:Esophageal Neoplasms / Q000556:secondary*; D004940:Esophageal Stenosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents