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T4 cervical esophageal cancer cured with modern chemoradiotherapy: A case report

World Journal of Clinical Cases 2020年第10期8卷 1950-1957页

作者： Chia Ching Lee Chong Ming Yeo Wee Khoon Ng Akash Verma jerem. cs tey Department of Radiation Oncology National University Cancer InstituteNational University HospitalTan Tock Seng HospitalSingapore 119228Singapore Department of Medical Oncology Tan Tock Seng HospitalSingapore 308433Singapore Department of Gastroenterology and Hepatology Tan Tock Seng HospitalSingapore 308433Singapore Department of Respiratory and Critical Care Medicine Tan Tock Seng HospitalSingapore 308433Singapore

BACKGROUND T4 esophageal cancer portends a poor prognosis,particularly when it is complicated by a tracheoesophageal fistula(TEF)either resulting from disease or occurring as a complication of *** with TEF that occurs during treatment are commonly treated with palliative intent because fistula-associated treatment complications such as aspiration pneumonia and mediastinitis are associated with high morbidity and *** date,there is no clear evidence on the optimal treatment of T4 esophageal cancer,particularly when a TEF formation *** SUMMARY A 67-year-old gentleman who presented with dysphagia and weight *** and imaging revealed a T4N1M0 cervical esophageal squamous cell *** received image-guided intensity-modulated radiation therapy,with concurrent weekly carboplatin(area under curve 2 mg/mL per minute)and paclitaxel(50 mg/m2 of body surface area).One week after treatment initiation(16.2 Gy thus far),he developed cough on swallowing.A TEF was detected on image-guided radiation therapy using cone-beam computed tomography during the treatment course,for which a tracheal stent was *** discussing the risks and morbidity of continuing treatment,he resumed chemoradiotherapy with an additional radiation dose of 45 Gy in 25 *** months after completion of chemoradiotherapy,he developed an esophageal stricture that required esophageal stenting and *** patient remains cancer-free at two year on *** response of esophageal cancer was evident on post-treatment endoscopy and computed tomography imaging,with successful closure of *** This case highlights that successful curative treatment for esophageal cancer complicated by a TEF is possible using novel chemotherapeutic regimens and modern radiation technologies.

关键词： Esophageal cancer Chemoradiotherapy Fistula Stenting T4 Case report

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