Esophagus

, Volume 12, Issue 4, pp 383–386 | Cite as

Colonic metastasis after resection of primary esophageal squamous cell carcinoma: report of a case

  • Hiroshi Hasegawa
  • Taro Oshikiri
  • Takashi Yasuda
  • Yasuo Sumi
  • Yasuhiro Fujino
  • Masahiro Tominaga
  • Yoshihiro Kakeji
Case Report
First Online:
Received:
Accepted:
  • 105 Downloads

Abstract

Colonic metastasis of esophageal squamous cell carcinoma (SCC) is extremely rare. A 77-year-old male patient was diagnosed with primary middle thoracic esophageal carcinoma and subsequently underwent subtotal esophagectomy. The pathological TNM classification was SCC of the esophagus, T3N1M0 stage IIIA. Twenty months later, he underwent emergency surgery due to acute abdomen. Exploratory laparotomy revealed diffuse peritonitis, as well as increased wall thickness and a pinhole perforation at the hepatic flexure of the transverse colon. He underwent right hemicolectomy, and pathological investigation demonstrated metastatic SCC of the colon from the esophageal carcinoma. The postoperative course was uneventful, and he was discharged 14 days after surgery. However, computed tomography scans performed 2 weeks after discharge showed carcinomatous peritonitis. The patient declined chemotherapy and died 2 months later.

Keywords

Esophageal carcinoma Colonic metastasis Squamous cell carcinoma 
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Notes

Ethical Statement

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (Hyogo Cancer Center) and with the Helsinki Declaration of 1964 and later versions. Informed consent or substitute for it was obtained from patient for being included in the study.

Conflict of interest

The authors declare no financial or commercial conflict of interest.

References

  1. 1.
    Pennathur A, Gibson MK, Jobe BA, Luketich JD. Oesophageal carcinoma. Lancet. 2013;381:400–12.CrossRefPubMedGoogle Scholar
  2. 2.
    Ichida H, Imamura H, Yoshimoto J, Sugo H, Kajiyama Y, Tsurumaru M, et al. Pattern of postoperative recurrence and hepatic and/or pulmonary resection for liver and/or lung metastases from esophageal carcinoma. World J Surg. 2013;37:398–407.CrossRefPubMedGoogle Scholar
  3. 3.
    Hsu PK, Wang BY, Huang CS, Wu YC, Hsu WH. Prognostic factors for post-recurrence survival in esophageal squamous cell carcinoma patients with recurrence after resection. J Gastrointest Surg. 2011;15:558–65.CrossRefPubMedGoogle Scholar
  4. 4.
    Karaosmanoğlu AD, Blake MA. Applications of PET-CT in patients with esophageal cancer. Diagn Interv Radiol. 2012;18:171–82.PubMedGoogle Scholar
  5. 5.
    Teyton P, Metges JP, Atmani A, Tallec VJL, Volant A, Visvikis D. Use of positron emission tomography in surgery follow-up of esophageal cancer. J Gastrointest Surg. 2009;13:451–8.CrossRefPubMedGoogle Scholar
  6. 6.
    Iwase H, Indo T, Shimada M, Tsuzuki T, Nakarai K, Kaida S, et al. Esophageal cancer with colonic metastasis successfully treated by chemoradiotherapy followed by chemotherapy with S-1 and cisplatin. Int J Clin Oncol. 2004;9:398–402.CrossRefPubMedGoogle Scholar
  7. 7.
    Karwasra RY, Garg P, Godara R, Yada V. Colonic metastasis from squamous cell carcinoma of esophagus. Ind J Gastroenterol. 2002;21:207.Google Scholar
  8. 8.
    Vyas SJ, Chitale AR, Deshpande RK. Late splenic metastasis after curative resection for oesophageal carcinoma. Eur J Cardiothorac Surg. 2002;22:1011–3.CrossRefPubMedGoogle Scholar
  9. 9.
    Sawada T, Adachi Y, Noda M, Akino K, Kikuchi T, Mita H, et al. Hepatic portal venous gas in pancreatic solitary metastasis from an esophageal squamous cell carcinoma. Hepatobiliary Pancreat Dis Int. 2013;12:103–5.CrossRefPubMedGoogle Scholar
  10. 10.
    Singla M, Singal R, Singla S, Sahu P, Kaur S, Goyal YR. Isolated metastasis to colon from carcinoma cervix. Indian J Cancer. 2011;48:267–8.CrossRefPubMedGoogle Scholar
  11. 11.
    Hirasaki S, Suzuki S, Uemura S, Kamei H, Okuda M, Kudo K. Asymptomatic colonic metastases from primary squamous cell carcinoma of the lung with a positive fecal occult blood test. World J Gastroenterol. 2008;14:5481–3.PubMedCentralCrossRefPubMedGoogle Scholar
  12. 12.
    Sakai H, Egi H, Hinoi T, Tokunaga M, Kawaguchi Y, Shinomura M, et al. Primary lung cancer presenting with metastasis to the colon: a case report. World J Surg Oncol. 2012;10:127.PubMedCentralCrossRefPubMedGoogle Scholar
  13. 13.
    Carroll D, Rajesh PB. Colonic metastases from primary squamous cell carcinoma of the lung. Eur J Cardiothorac Surg. 2001;19:719–20.CrossRefPubMedGoogle Scholar
  14. 14.
    Y Shimada, T Okumura, S Hojo, K Sukegawa, T Nagata, S Hayashi. Synchronous asymptomatic colonic metastasis from primary esophageal squamous cell carcinoma. J Surg Case Rep. 2014. doi: 10.1093/jscr/rjt117.
  15. 15.
    Kuwano H, Nakajima M, Miyazaki T, Kato H. Distinctive clinicopathological characteristics in esophageal squamous cell carcinoma. Ann Thorac Cardiovasc Surg. 2003;9:6–13.PubMedGoogle Scholar

Copyright information

© The Japan Esophageal Society and Springer Japan 2014

Authors and Affiliations

  • Hiroshi Hasegawa
    • 1
  • Taro Oshikiri
    • 1
  • Takashi Yasuda
    • 1
  • Yasuo Sumi
    • 2
  • Yasuhiro Fujino
    • 1
  • Masahiro Tominaga
    • 1
  • Yoshihiro Kakeji
    • 2
  1. 1.Department of Gastroenterological SurgeryHyogo Cancer CenterAkashiJapan
  2. 2.Department of Surgery, Division of Gastrointestinal SurgeryKobe University Graduate School of MedicineKobeJapan

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