Successful cure of a patient with tracheoesophageal fistula in cervical esophageal cancer: A case report and review of literature.

IF 3.2 Q3 ONCOLOGY

World journal of clinical oncology Pub Date : 2025-08-24 DOI:10.5306/wjco.v16.i8.109217

Haider Zuhair Waheed, Can-Qiang Huang, Yang-Yang Bao, Zhe Chen, Heng-Chao Chen, Zai-Zai Cao, Jiang-Tao Zhong, Peng Ye, Shui-Qiao Fu, Shui-Hong Zhou

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引用次数: 0

Abstract

Background: Tracheoesophageal fistula (TEF) is a life-threatening complication of advanced esophageal squamous cell carcinoma (ESCC). Cervical ESCC is rare and frequently diagnosed at an advanced stage. Managing cervical esophageal cancer (CEC) is challenging, requiring intervention by a multidisciplinary team (MDT) and innovative surgical management.

Case summary: Here, we present a 59-year-old male patient with a 5-month history of CEC and difficulty eating for over 20 days, who developed TEF secondary to recurrent ESCC after chemoradiotherapy. He underwent total pharyngolaryngoesophagectomy, left thyroidectomy, and lymphadenectomy. Gastric pull-up was performed to restore gastrointestinal continuity, and a 7 cm × 5 cm supraclavicular artery island flap (SCAIF) was used to reconstruct the lower tracheal defect. Despite severe postoperative complications, he recovered by successful management by a MDT. A 7 cm × 6 cm pectoralis major myocutaneous flap was successfully used to repair the necrotic gastric conduit defect. The patient recovered, regaining the ability to eat and breathe effectively. At the 27-month follow-up, he was alive without recurrence or metastasis.

Conclusion: This study highlights the efficacy of gastric pull-up and SCAIF reconstruction in managing TEF secondary to recurrent ESCC.

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宫颈食管癌气管食管瘘成功治愈1例报告并文献复习。

背景：气管食管瘘（TEF）是晚期食管鳞状细胞癌（ESCC）的一种危及生命的并发症。宫颈ESCC是罕见的，经常在晚期诊断出来。宫颈食管癌（CEC）的治疗具有挑战性，需要多学科团队（MDT）的干预和创新的手术管理。病例总结：我们报告了一位59岁的男性患者，他有5个月的CEC病史，进食困难超过20天，在放化疗后发生TEF，继发于复发性ESCC。他接受了全咽咽食管切除术、左甲状腺切除术和淋巴结切除术。行胃上拉恢复胃肠连续性，采用7 cm × 5 cm锁骨上动脉岛状皮瓣（SCAIF）重建下气管缺损。尽管有严重的术后并发症，他通过MDT的成功治疗恢复了健康。应用7 cm × 6 cm胸大肌肌皮瓣成功修复胃管坏死缺损。病人康复了，恢复了进食和呼吸的能力。在27个月的随访中，患者存活，无复发或转移。结论：本研究强调了胃上拉和SCAIF重建治疗复发性ESCC继发TEF的疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World journal of clinical oncology ONCOLOGY-

自引率

0.00%

发文量

585

期刊介绍： The WJCO is a high-quality, peer reviewed, open-access journal. The primary task of WJCO is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of oncology. In order to promote productive academic communication, the peer review process for the WJCO is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCO are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in oncology. Scope: Art of Oncology, Biology of Neoplasia, Breast Cancer, Cancer Prevention and Control, Cancer-Related Complications, Diagnosis in Oncology, Gastrointestinal Cancer, Genetic Testing For Cancer, Gynecologic Cancer, Head and Neck Cancer, Hematologic Malignancy, Lung Cancer, Melanoma, Molecular Oncology, Neurooncology, Palliative and Supportive Care, Pediatric Oncology, Surgical Oncology, Translational Oncology, and Urologic Oncology.