| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Lindenmann, Joerg Gollowitsch, Franz Matzi, Veronika Porubsky, Christian Maier, Alfred Smolle-Juettner, Freyja Maria |
| Abstract | Background Metastatic tumors of the intestinal tract from extra-abdominal sites are rare. In esophageal cancer, the liver, lung and the bones are the most common sites of metastases. Metastasis to intestines are very rare. Case presentation A 54-year old male was admitted with esophageal squamous cell carcinoma (SCC) associated with dysphagia II-III and weight loss of 20 kg. Preoperative routine staging failed to detect any metastases. A transthoracic esophagectomy and orthotopic gastric pull-up with collar esophago-gastrostomy, associated with 2-field lymphadenectomy was perfromed. During the digital placement of the naso-jejunal feeding catheter a submucosal jejunal nodule with a diameter of 1 cm, about 40 cm distal to the duodeno-jejunal fold was detected which was completely resected by jejunotomy. Histopathology of jejunal nodule showed metastasis from esophageal squamous cell carcinoma. Conclusion Because of the extensic esophageal lymphatic system, an occult widespread dissemination of the tumor cells into the abdominal cavity is possible. Additional intraoperative evaluation of the small intestine and the complete abdominal cavity should be performed in every operation of esophageal carcinoma to detect possible occult intraabdominal metastases. |
| Related Links | https://wjso.biomedcentral.com/counter/pdf/10.1186/1477-7819-3-44.pdf |
| Ending Page | 5 |
| Page Count | 5 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 14777819 |
| DOI | 10.1186/1477-7819-3-44 |
| Journal | World Journal of Surgical Oncology |
| Issue Number | 1 |
| Volume Number | 3 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2005-07-16 |
| Access Restriction | Open |
| Subject Keyword | Surgical Oncology Squamous Cell Carcinoma Esophageal Cancer Esophageal Squamous Cell Carcinoma Esophageal Carcinoma Transthoracic Esophagectomy |
| Content Type | Text |
| Resource Type | Case study |
| Subject | Oncology Surgery |
| Journal Impact Factor | 2.5/2023 |
| 5-Year Journal Impact Factor | 2.8/2023 |
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