[Development of scar cancer after subtotal oesophagectomy for corrosive injury].
BACKGROUND
The incidence of cicatricial carcinoma of the scarred esophagus in patients with corrosive injuries is relatively high. Therefore, the necessity to resect the diseased oesophagus was raised as opposed to carry out a simple by-pass reconstruction only.


METHODS
A 56-year-old female patient with a past medical history of lye consumption presented with a stricture of the esophagus. She underwent resection of the diseased esophagus with mediastinal colon interposition. 28 years after surgery the patient had symptoms of progressive dysphagia and loss of weight caused by scar cancer of the esophagus. After neoadjuvant chemo-radiotherapy, resection of the remainder oesophagus was performed with free jejunal transplantation. On postoperative day 14 the patient had been discharged with no complications and good swallowing function.


CONCLUSIONS
In our case, scar cancer developed 28 years after oesophageal resection and more than 50 years after the corrosive injury. This case is another argument for simple bypass.
Szabó
Melinda
M
Pécsi Tudományegyetem, Altalános Orvostudományi Kar Klinikai Központ, Sebészeti Klinika, Pécs, Hungary. melcsi33@gmail.com
Pavlovics
Gábor
G
Papp
András
A
Horváth
Ors Péter
OP
D000328:Adult; D000714:Anastomosis, Surgical; D002057:Burns, Chemical / Q000150:complications / Q000209:etiology; D002294:Carcinoma, Squamous Cell / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D002424:Caustics / Q000009:adverse effects; D002471:Cell Transformation, Neoplastic; D017024:Chemotherapy, Adjuvant; D002675:Child, Preschool; D002921:Cicatrix / Q000473:pathology* / Q000601:surgery*; D003106:Colon / Q000637:transplantation; D003679:Deglutition; D004938:Esophageal Neoplasms / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D004940:Esophageal Stenosis / Q000209:etiology / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D016629:Esophagectomy; D005260:Female; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D008875:Middle Aged; D020360:Neoadjuvant Therapy / Q000379:methods; D018714:Radiotherapy, Adjuvant; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous
D002424:Caustics