Open AccessT4 cervical esophageal cancer cured with modern chemoradiotherapy: A case report
Author(s) -
Chia Ching Lee,
Chong Ming Yeo,
Wee Khoon Ng,
Akash Verma,
Jeremy Tey
Publication year - 2020
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v8.i10.1950
Subject(s) - medicine , chemoradiotherapy , esophageal cancer , dysphagia , esophageal stricture , mediastinitis , radiation therapy , tracheoesophageal fistula , surgery , esophagus , aspiration pneumonia , stent , radiology , esophagectomy , fistula , cancer , pneumonia
T4 esophageal cancer portends a poor prognosis, particularly when it is complicated by a tracheoesophageal fistula (TEF) either resulting from disease or occurring as a complication of treatment. Patients with TEF that occurs during treatment are commonly treated with palliative intent because fistula-associated treatment complications such as aspiration pneumonia and mediastinitis are associated with high morbidity and mortality. To date, there is no clear evidence on the optimal treatment of T4 esophageal cancer, particularly when a TEF formation occurs.