A case of esophageal cancer with mesojejunal lymph node metastasis after total gastrectomyReport as inadecuate




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Esophagus

, Volume 8, Issue 4, pp 311–314

First Online: 20 November 2011Received: 14 May 2010Accepted: 01 November 2011

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.

KeywordsMesojejunal lymph node Total gastrectomy  Download fulltext PDF



Author: Ayu Kato - Ken-ichi Mafune - Junko Kuroda - Keisuke Kubota - Masashi Yoshida - Keiichiro Ohta - Masaki Kitajima

Source: https://link.springer.com/







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