Abstract
A 73-year-old man was hospitalized with pathologically documented hepatocellular carcinoma and cirrhosis, and a 5.0-cm tumor located in the left lobe was resected by a left lateral segmentectomy. At the same time, metastatic squamous cell carcinoma was identified by frozen section in a perigastric lymph node in the lesser omentum. Intraoperative endoscopy revealed a 1.0-cm erosive lesion in the thoracic esophagus that was subsequently found to be primary squamous cell carcinoma. Seven weeks later, a transthoracic subtotal esophagectomy with substernal, cervical esophagogastrostomy was performed. Twenty-two months after these resections there has been no recurrence of either the hepatocellular or esophageal carcinomas.
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Shimizu, R., Murakami, T., Wadamori, K. et al. The surgical management of synchronous hepatocellular carcinoma and thoracic esophageal carcinoma. Surg Today 23, 63–67 (1993). https://doi.org/10.1007/BF00309002
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DOI: https://doi.org/10.1007/BF00309002