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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Lookingbill DP, Spangler N, Helm KF. Cutaneous metastases in patients with metastatic carcinoma: a retrospective study of 4020 patients. J Am Acad Dermatol. 1993;29:228–36.
Weichselbaum RR, Hellman S. Oligometastases revisited. Nat Rev Clin Oncol. 2011;8:378–82.
Wen D, Collantes E, Sgromo B. Oligometastatic recurrence of an oesophageal adenocarcinoma at a chest drain site following radical treatment: palliative treatment or resection? Clin J Gastroenterol. 2018;11:470–5.
Schizas D, Lazaridis II, Moris D, et al. The role of surgical treatment in isolated organ recurrence of esophageal cancer—a systematic review of the literature. World J Surg Oncol.2018;16:55.
Mathew G, Watson DI, Ellis T, De Young N, Rofe AM, Jamieson GG. The effect of laparoscopy on the movement of tumor cells and metastasis to surgical wounds. Surg Endosc. 1997;11:1163–6.
Chen F, Sato K, Sakai H, et al. Pulmonary resection for metastasis from esophageal carcinoma. Interact Cardiovasc Thorac Surg. 2008;7:809–12.
Kanaya N, Noma K, Okada T, et al. A case of long-term survival after surgical resection for solitary adrenal recurrence of esophageal squamous carcinoma. Surg Case Rep. 2017;3:61.
Depypere L, Lerut T, Moons J, et al. Isolated local recurrence or solitary solid organ metastasis after esophagectomy for cancer is not the end of the road. Dis Esophagus.2017;30:1–8.
Liu J, Wei Z, Wang Y, Xia Z, Zhao G. Hepatic resection for post-operative solitary liver metastasis from oesophageal squamous cell carcinoma. ANZ J Surg. 2018 ;88:E252–6.
Shiono S, Kawamura M, Sato T, et al. Disease-free interval length correlates to prognosis of patients who underwent metastasectomy for esophageal lung metastases. J Thorac Oncol.2008;3:1046–9.
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Kajamohideen, S., Venkitaraman, B., Shivkumaran, S.M. et al. Solitary recurrence at intercostal drain site in oesophageal adenocarcinoma. Indian J Thorac Cardiovasc Surg 36, 241–243 (2020). https://doi.org/10.1007/s12055-019-00918-8
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DOI: https://doi.org/10.1007/s12055-019-00918-8