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- Title
Squamous cell carcinoma and Zenker diverticulum.
- Authors
Brücher, B. L. D. M.; Sarbia, M.; Oestreicher, E.; Molls, M.; Burian, M.; Biemer, E.; Stein, H. J.
- Abstract
Squamous cell carcinoma in a Zenker diverticulum is a very rare condition. We report a case of a patient with a Zenker carcinoma, who was primarily functionally inoperable and therefore received neoadjuvant radiochemotherapy before cardiac bypass surgery. After a complicated course with cardiogenic shock and myocardial infarction, a re-evaluation of functional risk analysis and the tumor situation revealed operability. Subsequently, partial hypopharyngectomy and partial cervical esophageal resection with lymphadenectomy was performed. Reconstruction of the gastrointestinal continuity was made by interposition of a free small bowel graft and microvascular anastomosis. The postoperative course showed a small anastomotic leakage of the hypopharyngeal-small bowel anastomosis, which was successfully treated conservatively.
- Subjects
SQUAMOUS cell carcinoma; ESOPHAGUS; DIVERTICULITIS; CANCER chemotherapy; MICROCIRCULATION disorders; ESOPHAGEAL varices; GASTROINTESTINAL system; THERAPEUTICS
- Publication
Diseases of the Esophagus, 2007, Vol 20, Issue 1, p75
- ISSN
1120-8694
- Publication type
Article
- DOI
10.1111/j.1442-2050.2007.00648.x