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Kato F, Koyanagi K, Sugihara S, et al. Long-term survival case of esophageal carcinosarcoma coexisting with alcoholic liver cirrhosis successfully treated by staged operation: A case report. Int J Surg Case Rep. 2021;83:105946doi: 10.1016/j.ijscr.2021.105946.
Kato, F., Koyanagi, K., Sugihara, S., Nakagawa, T., Hayashi, K., & Shintoku, J. (2021). Long-term survival case of esophageal carcinosarcoma coexisting with alcoholic liver cirrhosis successfully treated by staged operation: A case report. International journal of surgery case reports, 83105946. https://doi.org/10.1016/j.ijscr.2021.105946
Kato, Fumihiko, et al. "Long-term survival case of esophageal carcinosarcoma coexisting with alcoholic liver cirrhosis successfully treated by staged operation: A case report." International journal of surgery case reports vol. 83 (2021): 105946. doi: https://doi.org/10.1016/j.ijscr.2021.105946
Kato F, Koyanagi K, Sugihara S, Nakagawa T, Hayashi K, Shintoku J. Long-term survival case of esophageal carcinosarcoma coexisting with alcoholic liver cirrhosis successfully treated by staged operation: A case report. Int J Surg Case Rep. 2021 Jun;83:105946. doi: 10.1016/j.ijscr.2021.105946. Epub 2021 Apr 30. PMID: 33975200; PMCID: PMC8129925.
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Int J Surg Case Rep. 2021 Jun;83:105946. doi: 10.1016/j.ijscr.2021.105946. Epub 2021 Apr 30.

Long-term survival case of esophageal carcinosarcoma coexisting with alcoholic liver cirrhosis successfully treated by staged operation: A case report.

International journal of surgery case reports

Fumihiko Kato, Kazuo Koyanagi, Shiro Sugihara, Tomohiko Nakagawa, Koji Hayashi, Junichi Shintoku

Affiliations

  1. Department of Surgery, Ota Memorial Hospital, 455-1 Oshima-cho, Ota, Gunma 373-8585, Japan.
  2. Department of Gastroenterological Surgery, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. Electronic address: [email protected].
  3. Department of Pathology, Ota Memorial Hospital, Japan.

PMID: 33975200 PMCID: PMC8129925 DOI: 10.1016/j.ijscr.2021.105946

Abstract

INTRODUCTION: Patients with esophageal cancers including carcinosarcoma sometimes have underlying liver cirrhosis because of a history of heavy drinking. It is definitely required to determine the appropriate surgical strategy and to manage the patients promptly when performing esophagectomy for the esophageal carcinosarcoma coexisting with alcoholic liver cirrhosis.

PRESENTATION OF CASE: A 56-year-old male patient with a history of chest pain and difficulty swallowing was admitted to our hospital. He had a history of drinking 250 g of alcohol per day. Endoscopy revealed an irregular protruding tumor on the left wall of the lower-third thoracic esophagus. Computed tomography showed a tumor lesion in the lower-third thoracic esophagus; the images also showed irregularities on the surface of the liver, suggestive of coexisting alcoholic liver cirrhosis. The preoperative diagnosis was T3N2M0, Stage III esophageal leiomyosarcoma. In consideration of the underlying alcoholic liver cirrhosis, a staged operation was planned for this patient as a curative treatment. The patient had an uneventful postoperative clinical course and was discharged on the 47th day after the first surgery. Final histopathological diagnosis was T2N0M0, Stage II esophageal carcinosarcoma. The patient is alive without recurrence three years after surgery.

DISCUSSION: This is the first report of long-term survival case of esophageal carcinosarcoma with alcoholic liver cirrhosis that was treated successfully by staged operation.

CONCLUSIONS: Despite coexisting with alcoholic liver cirrhosis, staged operation could reduce the surgical invasiveness, so that very good short-term outcome and long-term survival was obtained in the patient with esophageal carcinosarcoma.

Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Keywords: Esophageal carcinosarcoma; Liver cirrhosis; Staged operation

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