[The cover stent custody case that acknowledged QOL improvement on traffic between trachea and esophagus of esophagus cancer].
The case was a 60-year-old man. The patient with a main complaint of husky voice was introduced by a nearby doctor to our otolaryngology department at the end of August 2009. Because of the wall thickening image of the upper part (Ut domain) esophagus, left infraclavicular lymph node and mediastium lymphadenopathy syndrome observed by head and neck CT, the patient was transferred to surgery department. Squamous cell carcinoma was diagnosed based on the upper part gastrointestinal tract endoscopy showing a type-3 advanced cancer of the upper thoracic esophagus sized 25-30 cm from nostril. The patient was in PD, fever and coughing, though we performed 2 FAP therapies. A chest CT revealed that there was a passage between the trachea and esophagus. Then, radiation therapy( a total of 60 Gy, 2 Gy at a time) was enforced. After the radio therapy, a covered type Ultraflex esophagus stent was inserted due to a fistula, though the tumor was reduced to 6 mm in size. The patient was passed away five months after the stent custody; a solid food intake was possible until just before he died.
Dept. of Surgery, Suita Municipal Hospital.
Hirotsugu
H
Nagase
Kazuyuki
K
Okada
Kohei
K
Murata
Masahiro
M
Murakami
Tetsu
T
Yanagisawa
Yoshihito
Y
Ide
Chikara
C
Ebisui
Hideoki
H
Yokouchi
Masakatsu
M
Kinuta
Tetsuji
T
Mikami
D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D004435:Eating; D004937:Esophageal Fistula / Q000209:etiology; D004938:Esophageal Neoplasms / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D010166:Palliative Care; D011788:Quality of Life; D015607:Stents; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000473:pathology*