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Ann Thorac Surg 1984;38:207-210
© 1984 The Society of Thoracic Surgeons

Articles

Long-term Survival Following Diverticulectomy for Cancer in Pharyngoesophageal (Zenker's) Diverticulum

Biing-shiun Huang, M.D.*

* Visiting clinician from the Division of Thoracic Surgery, Veterans General Hospital, Taipei, Taiwan, Republic of China

Krishnan K. Unni, M.B.B.S., W. Spencer Payne, M.D.*

Sections of Thoracic, Cardiovascular, Vascular, and General Surgery and Surgical Pathology, Mayo Clinic and Mayo Foundation, Rochester, MN

Accepted for publication February 6, 1984.

* Address reprint requests to Dr. Payne, Mayo Clinic, 200 First St SW, Rochester, MN 55905

The incidence of cancer in a pharyngoesophageal (Zenker's) diverticulum was 0.4% among 1,249 patients treated for such diverticula at the Mayo Clinic in a 53-year period. Twenty-four patients with squamous cell carcinoma arising in a pharyngoesophageal diverticulum have been reported by others. However, most of the patients died of the malignancy within 2 years of treatment, and there were no long-term survivors. We describe 2 long-term survivors who were without evidence of tumor or diverticulum recurrence 41/4 and 8 years after one-stage pharyngoesophageal diverticulectomy. Review of the literature revealed that most patients with cancer in pharyngoesophageal diverticulum should be managed in a manner similar to that for patients with ordinary cervical esophageal malignancy. However, our data suggest that when the tumor is well localized without full-thickness penetration, nodal metastasis, or extension to the line of resection (as in the 2 patients discussed), diverticulectomy alone can provide satisfactory control of cancer with minimal therapeutic risk.






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Copyright © 1984 by The Society of Thoracic Surgeons.