1. Acase of advanced colon cancer arising from a colonic graft for an esophago-bronchial fistula : A case report
- Author
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Takasugi, Haruka, Yoshida, Takahiro, Nishino, Takeshi, Goto, Masakazu, Inoue, Seiya, Matsumoto, Daisuke, Inui, Tomohiro, Takizawa, Hiromitsu, Tsuzuki, Hideo, Taniki, Toshikatsu, and Tangoku, Akira
- Subjects
Esophagectomy ,Esophago-bronchial fistula ,digestive system diseases ,Colonic graft ,Colonic interposition ,Colon cancer - Abstract
Neoplasm of a colonic graft after esophageal reconstruction is rare. We treated a colon cancer patient who developed malignancy in a colonic graft after esophagectomy and reconstruction through a retrosternal route. A male had undergone esophagectomy in his 50s due to a benign esophago-bronchial fistula. His dysphagia became exacerbated 20 years later, and further examinations showed a circumferential tumor on the esophago-colonic anastomosis. He underwent resection of the colonic graft adenocarcinoma with median sternotomy after neoadjuvant chemotherapy. Gastric tube reconstruction was performed through a retrosternal route. This report should be informative in terms of making decisions from an initial reconstruction to follow-up and choosing a therapeutic strategy for colonic graft cancer in the future.
- Published
- 2019