チーム医療で喉頭温存食道切除が可能であった頸胸部進行食道癌の1例

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  • A Successfully Treated Case of Cervico-thoracic Esophageal Cancer by Larynx-preserving Esophagectomy in Team Medication
  • ショウレイ ホウコク チーム イリョウ デ コウトウ オンゾン ショクドウ セツジョ ガ カノウ デ アッタ ケイ キョウブ シンコウ ショクドウガン ノ 1レイ

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A 54-year-old male with a chief complaint of dysphagia was admitted to our hospital. Upper gastrointestinal endoscopy and esophagogram revealed a submucosal tumor in the cervico-thoracic esophagus, and pathological examination of the biopsy specimens revealed a squamous cell carcinoma. Computed tomography of the neck and chest showed cT4N0M0, cStage III. The patient received neoadjuvant chemotherapy (NAC) with cisplatin and 5-FU. Follow-up examinations after NAC evaluated a stable disease. The patient underwent larynx-preserving thoracoscopic esophagectomy. Reconstruction was done using a gastric tube through the retrosternal route and free jejunum graft with micro-vascular anastomosis. The postoperative course was uneventful and the patient had been able to eat most foods without aspiration. We herein describe the importance of team management for a cervico-thoracic esophageal cancer.<br>

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