A case of esophageal cancer with mesojejunal lymph node metastasis after total gastrectomy.

Esophagus : Official Journal of the Japan Esophageal Society
Ayu KatoMasaki Kitajima

Abstract

A 56-year-old man was diagnosed with esophageal cancer by upper gastrointestinal endoscopy for examination of dysphagia. The patient had undergone total gastrectomy and jejunal interposition 4 years previously for a gastric cancer at the pT1N0M0 stage according to the UICC-TNM classification. Enhanced CT findings revealed a 3-cm-diameter mass located near the superior mesenteric artery. We conducted subtotal esophagectomy associated with partial jejunectomy including mesojejunectomy. The mass was histologically diagnosed to be mesojejunal lymph node metastasis from esophageal cancer. Mesojejunal lymph node metastasis from esophageal cancer developing after total gastrectomy has been reported in only three cases including ours. The present lymph node metastases may have occurred via the newly developed lymphatic drainage route through the esophagojejunostomy, and this metastatic lymph node can be considered the regional lymph node. Therefore, resection of the interposed jejunal limb with mesojejunectomy may be rational in surgery on esophageal cancer developing after total gastrectomy.

References

May 17, 2002·Cancer·Christian WittekindLeslie H Sobin
Apr 3, 2003·Journal of Surgical Oncology·Shao-Liang HanJing Zhuang
Dec 22, 2004·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Takashi OnoJun-ichi Ogawa
Jan 22, 2005·Journal of Surgical Oncology·Hiroshi WadaShingi Imaoka

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Citations

Jul 1, 2017·Gastroenterology Research and Practice·Osama ShaheenBayan Alsaid

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Methods Mentioned

BETA
dissection
biopsy

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