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Dipin Gupta
Mahender Macha
Valentino Piacentino, III
Arun K. Singhal
Satoshi Furukawa
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Right arrow Esophagus - cancer

Ann Thorac Surg 2004;78:702-705
© 2004 The Society of Thoracic Surgeons

Case report

Successful treatment of esophageal cancer with transhiatal esophagectomy after heart transplantation

Dipin Gupta, MDa, Mahender Macha, MDb, Valentino Piacentino, III, PhDb, Arun K. Singhal, MD, PhDb, Harvey F. Sasken, MDc, Satoshi Furukawa, MDb, Daniel T. Dempsey, MDa*

a Department of Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania, USA
b Division of Cardiac and Thoracic Surgery, , Temple University School of Medicine, Philadelphia, Pennsylvania, USA
c Department of Anatomic Pathology, Temple University School of Medicine, Philadelphia, Pennsylvania, USA

Accepted for publication June 19, 2003.

* Address reprint requests to Dr Dempsey, Department of Surgery, Temple University School of Medicine, 3rd Floor, Parkinson Pavilion, 3401 N Broad St, Philadelphia, PA 19140, USA
e-mail: daniel.dempsey{at}temple.edu

A 55-year-old heart transplant recipient with reflux esophagitis presented for routine endoscopic surveillance of an area of Barrett's metaplasia initially seen 3 years previously. Esophagogastroduodenoscopy revealed adenocarcinoma at 33 cm from the incisors. The preoperative clinical stage was T1N0M0 by endoscopic ultrasound. Transhiatal esophagectomy was performed with R0 resection of the cancer, and the patient recovered uneventfully. Pathologic examination confirmed esophageal adenocarcinoma (T1N0M0) in Barrett's mucosa. The patient is doing well, and has no evidence of disease after 18 months.






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