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Endobronchial Ultrasound-guided Intratumoral Injection of Cisplatin for the Treatment of Isolated Mediastinal Recurrence of Lung Cancer
Published on: February 12, 2017
[A Case of Salvage Chemoradiotherapy for Regional Recurrence after Curative Esophagectomy]
Masashi Yamamoto1, Tatsuya Okuno, Tatsuya Imanishi
1Division of Gastrointestinal Surgery, Dept. of Surgery, Graduate School of Medicine, Kobe University.
Abstract:
We report a case of regional recurrence of esophageal cancer after curative esophagectomy. The patient has experienced long-term survival after treatment with salvage chemoradiotherapy (CRT). A 69-year-old woman had received esophagectomy for advanced thoracic esophageal cancer (pathological T3N1M0, Stage Ⅲ). Recurrence in the cervical regional lymph nodes was diagnosed 1 year 4 months after surgery. She was treated with salvage chemoradiotherapy consisting of 60 Gy radiation and cisplatin/5-fluorouracil. The metastatic lymph nodes disappeared(a complete response). She has been alive without recurrence for 7 years and 5 months since completing salvage CRT. Approximately 30-50% of patients develop recurrences of esophageal cancer after curative esophagectomy, and these patients rarely survive longer than a year. Therefore, it is important that we examine this rare case of long-term survival after recurrence of esophageal cancer.

