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Endoscopic submucosal dissection for the treatment of synchronous hypopharyngeal mass and esophageal superficial carcinoma

  • Xiang-lei Yuan
  • Dan Yang
  • Bing HuEmail author
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A 53-year-old man with a history of smoking (1 pack/day × 30 years) and massive alcohol intake (250 g/day × 30 years) presented to our hospital with abnormal pharyngeal sensation and dyspnea. On esophagogastroscopy, a 2-cm pedunculated mass with hyperemia was observed in the right aryepiglottic fold (Fig.  1a), and a flat-type lesion was also identified 16 cm from the incisors (Fig.  1b). After endoscopic biopsy, a diagnosis of synchronous hypopharyngeal and esophageal squamous cell carcinoma was made. Subsequent computerised tomography (CT) of the neck revealed an approximately 2.3 × 1.6 cm well-defined mass in the right aryepiglottic fold (Fig.  1c), without cervical lymph node metastases. A contrast-enhanced CT of the chest did not reveal significant abnormality. Considering the fact that synchronous surgical resection of both the cancers is highly invasive treatment with high complication rates [ 1], and the patient refused to undergo staged treatment, endoscopic submucosal dissection...

Notes

Funding information

We acknowledge the support from National Natural Science Foundation of China (81570472).

Compliance with ethical standards

Conflict of interest

X-lY, DY, and BH declare that they have no conflicts of interest.

Informed consent

Informed written consent was obtained from the patient for publication of this report and accompanying images and Video.

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The authors are solely responsible for the data and the content of the paper. In no way, the Honorary Editor-in-Chief, Editorial Board Members, or the printer/publishers are responsible for the results/findings and content of this article.

References

  1. 1.
    Matsumoto A, Watanabe M, Shigaki H, et al. Efficacy of staged treatment strategy for patients with synchronous double cancers of the esophagus and head and neck: a retrospective study. World J Surg. 2016;40:388–94.CrossRefPubMedGoogle Scholar
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    Park JW, Lee SW. Clinical outcomes of synchronous head and neck and esophageal cancer. Radiat Oncol J. 2015;33:172–8.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Indian Society of Gastroenterology 2019

Authors and Affiliations

  1. 1.Department of Gastroenterology, West China HospitalSichuan UniversityChengdu CityChina
  2. 2.Department of Radiology, West China HospitalSichuan UniversityChengduChina

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