Journal of the Chinese Medical Association
Volume 73, Issue 6 , Pages 327-330, June 2010

Esophageal Metastasis From Occult Lung Cancer

  • Po-Kuei Hsu

      Affiliations

    • Department of Surgery, Chutung Veterans Hospital, Hsinchu, Taipei, Taiwan, R.O.C.
    • Division of Thoracic Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • Corresponding Author InformationCorrespondence to: Dr Po-Kuei Hsu and Dr Sen-Ei Shai, Department of Surgery, Chutung Veterans Hospital, 81, Section 1, Jhongfong Road, Jhudong Township, Hsinchu 310, Taiwan, R.O.C.
    • ,
  • Sen-Ei Shai

      Affiliations

    • National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • Division of Thoracic Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, R.O.C.
    • Corresponding Author InformationCorrespondence to: Dr Po-Kuei Hsu and Dr Sen-Ei Shai, Department of Surgery, Chutung Veterans Hospital, 81, Section 1, Jhongfong Road, Jhudong Township, Hsinchu 310, Taiwan, R.O.C.
    • ,
  • John Wang

      Affiliations

    • Department of Pathology, Taichung Veterans General Hospital, Taichung, Taiwan, R.O.C.
    • ,
  • Chung-Ping Hsu

      Affiliations

    • National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • Division of Thoracic Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, R.O.C.

Received 16 October 2009; accepted 22 March 2010.

A 66-year-old man with dysphagia was found to have a poorly differentiated esophageal carcinoma by incision biopsy. Following esophagectomy, reconstruction with a gastric tube was performed. Pathological examination and immunohisto-chemistry showed infiltration of adenocarcinoma cells with positive thyroid transcription factor 1-staining in the submucosal layer, which indicated metastatic esophageal carcinoma. Although no pulmonary lesion could be visualized by imaging or bronchoscopy, pulmonary origin was highly suspected as a result of positive thyroid transcription factor 1-staining. To the best of our knowledge, this is the first reported case of metastatic esophageal carcinoma from occult lung cancer (AJCC TNM stage TX).

Key Words:  esophageal surgery , lung cancer , metastasis

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PII: S1726-4901(10)70070-8

doi:10.1016/S1726-4901(10)70070-8

Journal of the Chinese Medical Association
Volume 73, Issue 6 , Pages 327-330, June 2010

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