Radical Thoracoscopic Esophagectomy for Elderly Patients with Advanced Esophageal Cancer

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Abstract

We report a case of an elderly patient with advanced esophageal cancer who underwent multidisciplinary treatment. An 86-year-old male consulted our hospital with complaints of pharynx discomfort and difficulty in swallowing. He was preoperatively diagnosed with esophageal cancer, T3N2M0, Stage III . We performed 2 courses of cisplatin plus 5-FU therapy as neoadjuvant chemotherapy. The primary tumor and metastatic lymph nodes reduced in size, and thoracoscopic esophagectomy in the prone position was performed. Pathological findings were esophageal cancer, pT3-Ad, INF b, ly2, v1, IM0, pPM0, pDM0, pRM1, pN3, pStage III . As the radical margin was positive, chemoradiotherapy was performed. We continued postoperative chemotherapy for approximately 1 year, and the patient has survived without relapse for 4 years from esophagectomy. Even in patients over 80 years old, long-term prognosis can be expected by performing radical surgery and chemoradiotherapy.

Original languageEnglish
Pages (from-to)1784-1786
Number of pages3
JournalGan to kagaku ryoho. Cancer & chemotherapy
Volume44
Issue number12
Publication statusPublished - Nov 1 2017

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Esophagectomy
Esophageal Neoplasms
Chemoradiotherapy
Drug Therapy
Prone Position
Neoadjuvant Therapy
Deglutition
Pharynx
Fluorouracil
Cisplatin
Lymph Nodes
Recurrence
Neoplasms
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Radical Thoracoscopic Esophagectomy for Elderly Patients with Advanced Esophageal Cancer",
abstract = "We report a case of an elderly patient with advanced esophageal cancer who underwent multidisciplinary treatment. An 86-year-old male consulted our hospital with complaints of pharynx discomfort and difficulty in swallowing. He was preoperatively diagnosed with esophageal cancer, T3N2M0, Stage III . We performed 2 courses of cisplatin plus 5-FU therapy as neoadjuvant chemotherapy. The primary tumor and metastatic lymph nodes reduced in size, and thoracoscopic esophagectomy in the prone position was performed. Pathological findings were esophageal cancer, pT3-Ad, INF b, ly2, v1, IM0, pPM0, pDM0, pRM1, pN3, pStage III . As the radical margin was positive, chemoradiotherapy was performed. We continued postoperative chemotherapy for approximately 1 year, and the patient has survived without relapse for 4 years from esophagectomy. Even in patients over 80 years old, long-term prognosis can be expected by performing radical surgery and chemoradiotherapy.",
author = "Yuki Matsumi and Yasuhiro Shirakawa and Shunsuke Tanabe and Satoshi Komoto and Naoaki Maeda and Takayuki Ninomiya and Kazuhiro Noma and Masahiko Nishizaki and Shunsuke Kagawa and Toshiyoshi Fujiwara",
year = "2017",
month = "11",
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volume = "44",
pages = "1784--1786",
journal = "Japanese Journal of Cancer and Chemotherapy",
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T1 - Radical Thoracoscopic Esophagectomy for Elderly Patients with Advanced Esophageal Cancer

AU - Matsumi, Yuki

AU - Shirakawa, Yasuhiro

AU - Tanabe, Shunsuke

AU - Komoto, Satoshi

AU - Maeda, Naoaki

AU - Ninomiya, Takayuki

AU - Noma, Kazuhiro

AU - Nishizaki, Masahiko

AU - Kagawa, Shunsuke

AU - Fujiwara, Toshiyoshi

PY - 2017/11/1

Y1 - 2017/11/1

N2 - We report a case of an elderly patient with advanced esophageal cancer who underwent multidisciplinary treatment. An 86-year-old male consulted our hospital with complaints of pharynx discomfort and difficulty in swallowing. He was preoperatively diagnosed with esophageal cancer, T3N2M0, Stage III . We performed 2 courses of cisplatin plus 5-FU therapy as neoadjuvant chemotherapy. The primary tumor and metastatic lymph nodes reduced in size, and thoracoscopic esophagectomy in the prone position was performed. Pathological findings were esophageal cancer, pT3-Ad, INF b, ly2, v1, IM0, pPM0, pDM0, pRM1, pN3, pStage III . As the radical margin was positive, chemoradiotherapy was performed. We continued postoperative chemotherapy for approximately 1 year, and the patient has survived without relapse for 4 years from esophagectomy. Even in patients over 80 years old, long-term prognosis can be expected by performing radical surgery and chemoradiotherapy.

AB - We report a case of an elderly patient with advanced esophageal cancer who underwent multidisciplinary treatment. An 86-year-old male consulted our hospital with complaints of pharynx discomfort and difficulty in swallowing. He was preoperatively diagnosed with esophageal cancer, T3N2M0, Stage III . We performed 2 courses of cisplatin plus 5-FU therapy as neoadjuvant chemotherapy. The primary tumor and metastatic lymph nodes reduced in size, and thoracoscopic esophagectomy in the prone position was performed. Pathological findings were esophageal cancer, pT3-Ad, INF b, ly2, v1, IM0, pPM0, pDM0, pRM1, pN3, pStage III . As the radical margin was positive, chemoradiotherapy was performed. We continued postoperative chemotherapy for approximately 1 year, and the patient has survived without relapse for 4 years from esophagectomy. Even in patients over 80 years old, long-term prognosis can be expected by performing radical surgery and chemoradiotherapy.

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JO - Japanese Journal of Cancer and Chemotherapy

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