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Treatment tactics for complicated esophageal cancer in a patient after lung transplantation

https://doi.org/10.24884/0042-4625-2021-180-5-91-95

Abstract

We report the clinical case of esophageal cancer development in the patient who previously underwent bilateral lung transplantation. The oncological disease was characterized by extremely rapid growth; despite the regular post-transplant examination, esophageal cancer was diagnosed in IV stage (liver metastases). The tumor was complicated by recurrent massive bleeding. For that reason, according to vital indications, a subtotal esophagectomy with a plasty by wide gastric tube was performed. The postoperative period was uneventful. The postoperative chemotherapy was carried out and stabilization achieved.

About the Authors

A. L. Akopov
Pavlov University
Russian Federation

Akopov Andey L., Dr. of Sci. (Med.), Professor, Head of the Thoracic Surgery Department of the Clinic of the Research Institute of Surgery and Emergency Medicine

197022, Saint Petersburg, L’va Tolstogo str., 6-8


Competing Interests:

The authors declare no conflict of interest. 



S. Y. Dvoreckiy
Pavlov University
Russian Federation

Dvoreckiy Sergey Yu., Dr. of Sci. (Med.), Head of Oncological Department № 4 (Thoracic Surgery) of the Clinic of the Research Institute of Surgery and Emergency Medicine

197022, Saint Petersburg, L’va Tolstogo str., 6-8


Competing Interests:

The authors declare no conflict of interest. 



A. A. Ilin
Pavlov University
Russian Federation

Ilin Andrey A., Cand. of Sci. (Med.), Thoracic Surgeon of the Oncological Department № 4 (Thoracic Surgery) of the Clinic of the Research Institute of Surgery and Emergency Medicine

197022, Saint Petersburg, L’va Tolstogo str., 6-8


Competing Interests:

The authors declare no conflict of interest. 



S. D. Gorbunkov
Pavlov University
Russian Federation

Gorbunkov Stanislav D., Dr. of Sci. (Med.), Senior Research Fellow of the Department of Thoracic Surgery of the Clinic of the Research Institute of Surgery and Emergency Medicine

197022, Saint Petersburg, L’va Tolstogo str., 6-8


Competing Interests:

The authors declare no conflict of interest. 



A. V. Zinchenko
Pavlov University
Russian Federation

Zinchenko Arina V., Pulmonologist of the Respiratory Therapy Department, Pulmonology Department № 1 of the Clinic of the Research Institute of Interstitial and Orphan Lung Diseases

197022, Saint Petersburg, L’va Tolstogo str., 6-8


Competing Interests:

The authors declare no conflict of interest. 



M. A. Vasilieva
Pavlov University
Russian Federation

Vasilieva Maria A., Cand. of Sci. (Med.), Radiologist of the X-ray CT Department № 3 of the Clinic of the Research Institute of Surgery and Emergency Medicine

197022, Saint Petersburg, L’va Tolstogo str., 6-8


Competing Interests:

The authors declare no conflict of interest. 



E. V. Blinov
Pavlov University
Russian Federation

Blinov Egor. V., Endoscopist of the Endoscopy Department of the Clinic of the Research Institute of Surgery and Emergency Medicine

197022, Saint Petersburg, L’va Tolstogo str., 6-8


Competing Interests:

The authors declare no conflict of interest. 



A. A. Khryapa
Pavlov University
Russian Federation

Khryapa Aleksandr A., Cand. of Sci. (Med.), Head of the Anesthesiology-Resuscitation Department № 2 of the Scientific and Clinical Center of Anesthesiology and Resuscitation

197022, Saint Petersburg, L’va Tolstogo str., 6-8


Competing Interests:

The authors declare no conflict of interest. 



E. G. Gavrilova
Pavlov University
Russian Federation

Gavrilova Elena G., Cand. of Sci. (Med.), Associate Professor of the Department of Anesthesiology and Intensive Care, Head of the Department of Intensive Care and Intensive Care № 2 of the Scientific and Clinical Center of Anesthesiology and Resuscitation

197022, Saint Petersburg, L’va Tolstogo str., 6-8


Competing Interests:

The authors declare no conflict of interest. 



N. A. Yaitsky
Pavlov University
Russian Federation

Yaicky Nikolay A., Dr. of Sci. (Med.), Professor, Academician of Russian Academy of Sciences, Head of the department of Hospital Surgery №1

197022, Saint Petersburg, L’va Tolstogo str., 6-8


Competing Interests:

The authors declare no conflict of interest. 



References

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6. Acuna S., Fernandes K., Daly C. et al. Cancer mortality among recipients of solid-organ transplantation in Ontario, Canada // JAMA Oncol. 2016;2(4):463–469. Doi:10.1001/jamaoncol.2015.5137.

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Review

For citations:


Akopov A.L., Dvoreckiy S.Y., Ilin A.A., Gorbunkov S.D., Zinchenko A.V., Vasilieva M.A., Blinov E.V., Khryapa A.A., Gavrilova E.G., Yaitsky N.A. Treatment tactics for complicated esophageal cancer in a patient after lung transplantation. Grekov's Bulletin of Surgery. 2021;180(5):91-95. (In Russ.) https://doi.org/10.24884/0042-4625-2021-180-5-91-95

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ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)