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A Journal on Surgery


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Chirurgia 2014 April;27(2):133-4

language: English

Hematogenous metastatisation of the tracheal wall in early stage esophageal cancer treated with radical esophagectomy and IORT

Oldani A. 1, Maldi E. 2, Santos Pereira P. 2, Gentilli S. 1, Garavoglia M. 1, Boldorini R. 2

1 Department of Surgery “A. Avogadro” University of Eastern Piedmont Maggiore della Carità Hospital, Novara, Italy;
2 Department of Pathology “A. Avogadro” University of Eastern Piedmont Maggiore della Carità Hospital, Novara, Italy


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Esophageal cancer is a disease in which airway involvement is a frequent cause of incurability. A patient underwent radical esophagectomy with application of IORT for an early stage esophageal cancer. Postoperative stay was complicated by tracheal ulceration; microscopic examination of the ulcerated tracheal tissue revealed multiple metastatic islets of spindle cells carcinoma. Our case revealed a very unusual hematogenous metastatization that has been impossible to detect with conventional preoperative staging; IORT may have played a role in the fatal outcome

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