Minimally invasive resection of synchronous triple primary tumors of the esophagus, lung, and thymus: A case report.
BACKGROUND
Reports of synchronous multiple primary tumors are very rare. We report a case of synchronous esophagus and lung cancer combined with thymoma treated with a minimally invasive approach.


METHODS
In a 63-year-old patient, cT2 esophageal squamous cell carcinoma was found. Chest computed tomography revealed a lesion in the right upper lobe combined with an antero-superior mediastinal mass. She was treated with one-stage bilateral video-assisted thoracoscopic+laparoscopic esophagectomy with lymph node dissection and lobectomy with complete lymphadenectomy followed by thymomectomy and demonstrated a favorable response at early follow-up, without severe adverse surgical complications and evidence of local recurrence or distant metastasis. But the long-term follow-up is still needed for the evaluation of therapeutic effects of surgery.


CONCLUSIONS
In the diagnostic procedure we excluded the probability of esophageal carcinoma metastasizing to the lung. Considering the patient's physical condition permit, we performed a minimally invasive surgery for three tumors. Besides, suitable operative incisions are important for the success of surgery.


CONCLUSIONS
To our knowledge, this is the first case report in which simultaneous minimally invasive resection of esophagus and lung cancer combined with thymoma.
Department of Thoracic Surgery, Ningbo No. 2 Hospital, Ningbo University, 40 Xi Bei Road, Ningbo 315000, China.
Xiao
X
Song
Department of Thoracic Surgery, Ningbo No. 2 Hospital, Ningbo University, 40 Xi Bei Road, Ningbo 315000, China.
Haibo
H
Shen
Department of Thoracic Surgery, Ningbo No. 2 Hospital, Ningbo University, 40 Xi Bei Road, Ningbo 315000, China.
Jie
J
Li
Department of Thoracic Surgery, Ningbo No. 2 Hospital, Ningbo University, 40 Xi Bei Road, Ningbo 315000, China. Electronic address: fmwang2@163.com.
Fengmin
F
Wang
Esophageal cancer; Lung cancer; Minimally invasive thoracoscopic surgery; Multiple primary neoplasms; Thymoma