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A case of video-assisted thoracoscopic radical esophagectomy for cancer in a patient with essential thrombocythemia

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Abstract

A 73-year-old man was diagnosed with essential thrombocythemia and treated with acetylsalicylic acid and hydroxyurea for 15 years. He was referred to our hospital for treatment of esophageal cancer detected by endoscopy. The cancer stage was T1N1M0, cStage IIB according to the classification of the Union for International Cancer Control, 7th edition. After administering two courses of preoperative chemotherapy (5-fluorouracil + cisplatin), the patient underwent video-assisted thoracoscopic radical esophagectomy. Hydroxyurea administration was discontinued during anticancer therapy and restarted to control the platelet count. Heparin was continuously infused during the perioperative period, and hydroxyurea was restarted through a jejunostomy tube on the postoperative day 2. No thrombosis or hemorrhage developed, and the patient was discharged from the hospital on the postoperative day 33. This is the first case report of video-assisted thoracoscopic radical esophagectomy for esophageal cancer in a patient with essential thrombocythemia.

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References

  1. Briere JB. Essential thrombocythemia. Orphanet J Rare Dis. 2007;2(3):1–17. doi:10.1186/1750-1172-2-3.

    Google Scholar 

  2. Kazuo D, Takashi Y, Yukiko K, et al. Clinical features of polycythemia vera and essential thrombocythemia in Japan: retrospective analysis of a nationwide survey by the Japanese elderly leukemia and lymphoma study group. Int J Hematol. 2006;83:443–9.

    Article  Google Scholar 

  3. Alberto A-L, Francisco C, Arturo P, et al. Observation versus antiplatelet therapy as primary prophylaxis for thrombosis in low-risk essential thrombocytemia. Blood. 2010;116:1205–11.

    Article  Google Scholar 

  4. Cortelazzo Sergio, Viero Piera, Finazzi Guido, et al. Incidence and risk factors for thrombotic complications in a historical cohort of 100 patients with essential thrombocythemia. J Clin Oncol. 1990;8:556–62.

    CAS  PubMed  Google Scholar 

  5. Ruggeri M, Finazzi G, Tosetto A, et al. No treatment for low-risk thrombocythaemia: results from a prospective study. Br J Haematol. 1998;103:772–7.

    Article  CAS  PubMed  Google Scholar 

  6. Kuroiwa M, Irita K, Sanuki M, et al. Incidence and characteristics of perioperative pulmonary thromboembolism in Japan from 2009 through 2011—the results of perioperative pulmonary thromboembolism research by the Japanese Society of Anesthesiologists (JSA-PTE research). Masui. 2013;62:629–38 (Japanese).

    PubMed  Google Scholar 

  7. The Japanese Circulation society, et al. Guidelines for the diagnosis, treatment and prevention of pulmonary thromboembolism and deep vein thrombosis (Japanese Circulation Society 2009). Circ J. 2011;75:1258–81.

    Article  Google Scholar 

  8. Itano Takeshi, Hamada Tomio, Masuda Akira, et al. Anesthetic experience of patient with essential trombocythemia. Hokuriku J Anesthesiol. 1994;28:13–5.

    Google Scholar 

  9. Tanaka M, Hosokawa T, Tanaka Y, et al. The platelet aggregation during hypothensive anesthesia using prostaglandin E1. Masui. 1991;40:1636–40 (Japanese).

    CAS  PubMed  Google Scholar 

  10. Kawaida H, Itakura J, Matshuda M, et al. A case of common bile duct cancer with essential thrombocythemia treated by pylorus preserving pancreatoduodenectomy. J Japan Biliary Assoc. 2010;24:695–9 (Japanese).

    Google Scholar 

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Authors and Affiliations

  1. Department of Gastroenterological Surgery, Osaka-City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, 545-8585, Japan

    Ryoya Hashiba, Shigeru Lee, Satoru Kishida, Yushi Fujiwara, Ken Gyobu, Yasunori Matsuda, Eijiro Edagawa, Masahiko Kinoshita, Toshihiko Shibata & Harushi Osugi

  2. Department of Surgery, Taisyo Hospital, 5-5-16 Sankenya-higashi, Taisyo-ku, Osaka, Japan

    Toshio Ihara

Authors
  1. Ryoya Hashiba
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  2. Shigeru Lee
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  3. Satoru Kishida
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  4. Yushi Fujiwara
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  5. Ken Gyobu
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  6. Yasunori Matsuda
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  7. Eijiro Edagawa
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  8. Masahiko Kinoshita
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  9. Toshio Ihara
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  10. Toshihiko Shibata
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  11. Harushi Osugi
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Corresponding author

Correspondence to Ryoya Hashiba.

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Ethical Statement

This report was in accordance with the Helsinki Declaration of 1975, as revised in 2000 and 2008. We gave consideration to the privacy of the patient, and the manuscript does not include any identifying information. The patient gave informed consent for publication of this work.

Conflict of interest

Ryoya Hashiba, Shigeru Lee, Satoru Kishida, Yushi Fujiwara, Ken Gyobu, Yasunori Matsuda, Eijiro Edagawa, Masahiko Kinoshita, Toshio Ihara, Toshihiko Shibata and Harushi Osugi declare that they have no conflict of interest.

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Hashiba, R., Lee, S., Kishida, S. et al. A case of video-assisted thoracoscopic radical esophagectomy for cancer in a patient with essential thrombocythemia. Esophagus 13, 369–373 (2016). https://doi.org/10.1007/s10388-016-0535-7

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  • DOI: https://doi.org/10.1007/s10388-016-0535-7

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