Occult solitary submucosal jejunal metastasis from esophageal carcinoma

被引：9

作者：

Lindenmann J. ^{[1
]}

Gollowitsch F. ^{[2
]}

Matzi V. ^{[1
]}

Porubsky C. ^{[1
]}

Maier A. ^{[1
]}

Smolle-Juettner F.M. ^{[1
]}

机构：

[1] Department of Thoracic and Hyperbaric Surgery, University Medical School, Graz

[2] Department of Pathology, University Medical School, Graz

来源：

World Journal of Surgical Oncology | / 3卷 / 1期

关键词：

Squamous Cell Carcinoma; Esophageal Cancer; Esophageal Squamous Cell Carcinoma; Esophageal Carcinoma; Transthoracic Esophagectomy;

D O I：

10.1186/1477-7819-3-44

中图分类号：

学科分类号：

摘要：

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. © 2005 Lindenmann et al; licensee BioMed Central Ltd.

引用

页数：5

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