Adenocarcinoma Arising 35 Years after Colonic Interposition for Benign Esophageal Disease

Main Authors: Laura Urbani, Flavia Cavicchi, Veronica Esposito, Federico Mascioli, Martina Sorrentino, Annamaria Pronio, Clemente Iascone
Format: Article eJournal
Bahasa: eng
Terbitan: , 2017
Subjects:
Online Access: https://zenodo.org/record/3538573
Daftar Isi:
  • Adenocarcinoma is a rare long-term complication of the interposed colon in patients submitted to esophagectomy for benign diseases. At the moment, including the present case, 13 patients with cancer arising in a colon graft have been reported in the literature. We describe a 65-year old woman with a history of lye-induced stricture in childhood who developed a polypoid adenocarcinoma of the grafted colon 35 years after esophageal reconstruction. She was successfully treated with endoscopic resection of the lesion followed by chemotherapy (CT): the patient is alive and free from disease after 43 months of therapy in excellent condition. Based on their own experience and literature results, the authors underline the need for surveillance after esophageal replacement in patients with long life expectancy.