{"title":"Bronchoesophageal-spinal fistula development in a patient with thyroid cancer.","authors":"Andrew Zhu, Leon L Chen, Jing Tao","doi":"10.1097/JXX.0000000000001166","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Concurrent bronchoesophageal fistulas (BEF) and spinal-esophageal fistulas (SEF) are exceedingly rare complications of esophageal perforation, particularly in cancer patients undergoing multimodal therapies. This report describes a patient with metastatic papillary thyroid cancer who developed BEF and SEF following thyroidectomy, radiotherapy, and systemic antineoplastic therapies. Despite multiple interventions, including esophageal stenting, nutritional support, and antifungal therapy, the patient's condition deteriorated due to recurrent infections and progressive organ dysfunction. This case highlights the complex interplay between oncologic treatments and their complications, underscoring the need for early recognition, multidisciplinary management, and novel therapeutic strategies for high-risk patients.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"582-586"},"PeriodicalIF":1.6000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Association of Nurse Practitioners","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/JXX.0000000000001166","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Abstract: Concurrent bronchoesophageal fistulas (BEF) and spinal-esophageal fistulas (SEF) are exceedingly rare complications of esophageal perforation, particularly in cancer patients undergoing multimodal therapies. This report describes a patient with metastatic papillary thyroid cancer who developed BEF and SEF following thyroidectomy, radiotherapy, and systemic antineoplastic therapies. Despite multiple interventions, including esophageal stenting, nutritional support, and antifungal therapy, the patient's condition deteriorated due to recurrent infections and progressive organ dysfunction. This case highlights the complex interplay between oncologic treatments and their complications, underscoring the need for early recognition, multidisciplinary management, and novel therapeutic strategies for high-risk patients.
期刊介绍：
The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners.
Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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