Long-term Survival after Effective Chemoradiation Therapy on an Outpatient Basis for Stage IVa Esophageal Cancer—Report of a Case—

TANAKA Masanao, FUKUSHIMA Ryouji

doi:10.3919/jjsa.76.2141

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外来化学放射線療法が著効し8年生存中であるStage IVa食道癌の1例
症例外来化学放射線療法が著効し8年生存中であるStage Ⅳa食道癌の1例
ショウレイガイライカガクホウシャセンリョウホウガチョコウシ 8ネンセイゾンチュウデアル Stage Ⅳ a ショクドウガンノ 1レイ
Long-term Survival after Effective Chemoradiation Therapy on an Outpatient Basis for Stage IVa Esophageal Cancer—Report of a Case—

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Abstract

A 72-year-old woman presented with far advanced esophageal cancer with a total of four lymph nodes metastases at the abdomen and the left supraclavicular fossa. The main lesion was resectable. We decided to perform an esophagectomy without superior mediastinal and cervical lymphadenectomy to avoid excessive invasive operation and to employ postoperative chemoradiation therapy (CRT) to the region left undissected superior mediastinal metastases. In June 2006, we performed subtotal esophagectomy by right thoracotomy and laparotomy and 2-field lymph node dissection. The histopathological diagnosis was type 4 cancer of the lower thoracic esophagus, pT3, pN2 (No3, No9), pStage IVa. After the operation, she removed a jejunostomy tube by herself, for that reoperation was required and CRT could not be started, with resultant enlargement of the 104L metastasis. The patient strongly desired to receive CRT which could be done on an outpatient basis, so that we selected such a palliative therapy as gave Linac X irradiation to the 104L metastasis at a dose of 50 Gy and oral medication of TS-1 alone for 5 years. As a result, the 104L metastasis almost disappeared, and a complete response (CR) has been kept for 8 years without recurrence and metastasis.

Journal

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 76 (9), 2141-2146, 2015

Japan Surgical Association

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