Acase of advanced colon cancer arising from a colonic graft foran esophago-bronchial fistula : A case report

Haruka Takasugi; Takahiro Yoshida; Takeshi Nishino; Masakazu Goto; Seiya Inoue; Daisuke Matsumoto; Tomohiro Inui; Hiromitsu Takizawa; Hideo Tsuzuki; Toshikatsu Taniki; Akira Tangoku

doi:10.2152/jmi.66.190

Haruka Takasugi, Takahiro Yoshida, Takeshi Nishino, Masakazu Goto, Seiya Inoue, Daisuke Matsumoto, Tomohiro Inui, Hiromitsu Takizawa, Hideo Tsuzuki, Toshikatsu Taniki, Akira Tangoku

Author information

Haruka Takasugi
Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Graduate School, Tokushima, Japan [Japan]
Department of General Surgery, JA Kochi Kouseiren, Kochi Japan [Japan]
Takahiro Yoshida
Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Graduate School, Tokushima, Japan [Japan]
Takeshi Nishino
Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Graduate School, Tokushima, Japan [Japan]
Masakazu Goto
Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Graduate School, Tokushima, Japan [Japan]
Seiya Inoue
Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Graduate School, Tokushima, Japan [Japan]
Daisuke Matsumoto
Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Graduate School, Tokushima, Japan [Japan]
Tomohiro Inui
Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Graduate School, Tokushima, Japan [Japan]
Hiromitsu Takizawa
Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Graduate School, Tokushima, Japan [Japan]
Hideo Tsuzuki
Department of General Surgery, JA Kochi Kouseiren, Kochi Japan [Japan]
Toshikatsu Taniki
Department of General Surgery, JA Kochi Kouseiren, Kochi Japan [Japan]
Akira Tangoku
Department of General Surgery, JA Kochi Kouseiren, Kochi Japan [Japan]

Keywords: Esophagectomy, Colonic graft, Colonic interposition, Colon cancer, Esophago-bronchial fistula

JOURNAL FREE ACCESS

2019 Volume 66 Issue 1.2 Pages 190-193

DOI https://doi.org/10.2152/jmi.66.190

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Abstract

Neoplasm of a colonic graft after esophageal reconstruction is rare. We treated a colon cancer patient who developed malignancy in a colonic graft after esophagectomy and reconstruction through a retrosternal route. A male had undergone esophagectomy in his 50s due to a benign esophago-bronchial fistula. His dysphagia became exacerbated 20 years later, and further examinations showed a circumferential tumor on the esophagocolonic anastomosis. He underwent resection of the colonic graft adenocarcinoma with median sternotomy after neoadjuvant chemotherapy. Gastric tube reconstruction was performed through a retrosternal route. This report should be informative in terms of making decisions from an initial reconstruction to follow-up and choosing a therapeutic strategy for colonic graft cancer in the future. J. Med. Invest. 66 : 190-193, February, 2019

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