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Updated: Dec 5, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Solitary recurrence at intercostal drain site in oesophageal adenocarcinoma
Suhaildeen Kajamohideen1, Balasubramanian Venkitaraman1, Sathyanarayanan M Shivkumaran1
1Department of Surgical Oncology, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu India.
Abstract:
56 year old gentleman was evaluated for dysphagia and diagnosed with oesophageal adenocarcinoma and had undergone Transhiatal Oesophagectomy elsewhere, pT3N0, but had defaulted adjuvant treatment. He presented 15 months later to us with nodule at left intercostal drain (ICD) drain site. Positron Emission Tomography (PET) scan showed it to be single site metastasis and he underwent wide excision, followed by six cycles of chemotherapy. He is symptom free and on regular follow up for a period of ten months. Oesophageal cancer although with poor prognosis can be considered for metastatectomy after considering the disease free interval, site of recurrence and histological factors in carefully selected patient.
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