title: [Successful multidisciplinary treatment of a case of lymph node recurrence with invasion to adjacent organs after curative resection of esophageal cancer].
abstract: In the present report, we describe a case of a woman who underwent esophagectomy for esophageal carcinosarcoma in October 2008. Computed tomography (CT) and endoscopy indicated lymph node recurrence with invasion into adjacent organs and oropharyngeal carcinoma in September 2009. She subsequently received 2 courses of chemotherapy (5-fluorouracil+ cisplatin+adriamycin) plus radiotherapy with a total dose of 60 Gy. Although a partial response was achieved after this treatment, CT still indicated the presence of residual lesions. Therefore, surgical excision was performed at the site of the lymph node recurrence and for oropharyngeal carcinoma. Thus, we performed a radical operation by resecting the skin, sternum, clavicle, ribs, innominate vein, bronchus, oropharyngeal, larynx, and lymph node; transplanted a free thigh flap; and performed a mediastinal tracheostomy. She has been alive without recurrence for 3 years and 4 months after the operation.
authors.affiliation: Dept. of Gastroenterological Surgery, Graduate School of Medicine, Osaka University.
authors.forename: Kohei
authors.initials: K
authors.lastname: Murakami
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Miyata
authors.forename: Makoto
authors.initials: M
authors.lastname: Yamasaki
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Miyazaki
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Takahashi
authors.forename: Yukinori
authors.initials: Y
authors.lastname: Kurokawa
authors.forename: Shuji
authors.initials: S
authors.lastname: Takiguchi
authors.forename: Kiyokazu
authors.initials: K
authors.lastname: Nakajima
authors.forename: Masaki
authors.initials: M
authors.lastname: Mori
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Doki
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D002296:Carcinosarcoma / Q000628:therapy*; D059248:Chemoradiotherapy; D004938:Esophageal Neoplasms / Q000473:pathology / Q000628:therapy*; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D012008:Recurrence