Surgical Resection of Thoracic Esophageal Cancer with Interstitial Lung Disease : A Case Report

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Title ( eng )
Surgical Resection of Thoracic Esophageal Cancer with Interstitial Lung Disease : A Case Report
Creator
Ibuki Yuta
Taomoto Junya
Furukawa Takaoki
Yamakita Ichiko
Source Title
Hiroshima Journal of Medical Sciences
Volume 65
Issue 1
Start Page 19
End Page 23
Journal Identifire
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
Abstract
Patients with esophageal cancer often have various comorbidities, and these sometimes limit treatment choices. We describe a patient with stage IA esophageal cancer accompanied by interstitial lung disease (ILD). Endoscopic resection and radiotherapy were not appropriate because of clinically diagnosed submucosal invasion and the patient was at high risk of ILD exacerbation. We therefore selected transhiatal esophagectomy without a thoracotomy considering the risk of postoperative respiratory complications, and administered methylprednisolone and sivelestat in the perioperative period for the reduction of surgical stress. To our knowledge, this is the first report of surgical treatment for esophageal cancer with ILD. The patient was discharged without postoperative complications. Transhiatal esophagectomy is an appropriate choice for patients with early-stage esophageal cancer without lymph node metastasis who are at high risk for postoperative respiratory complications. The appropriate selection of treatment is important for patients with esophageal cancer considering the risk of complications.
Keywords
Transhiatal esophagectomy
Inflammatory diseases
NDC
Medical sciences [ 490 ]
Language
eng
Resource Type departmental bulletin paper
Publisher
Hiroshima University Medical Press
Date of Issued 2016-03
Rights
Copyright (c) 2016 Hiroshima University Medical Press
Publish Type Version of Record
Access Rights open access
Source Identifier
[ISSN] 0018-2052
[NCID] AA00664312