食管鳞癌术后远期肋骨转移行同步放化疗1例

Concurrent chemoradiotherapy for post-esophagectomy long-term metastasis of rib:A case report

德阳肿瘤医院收治1例食管癌根治术后放化疗后8年肋骨转移患者,男,66岁,2011年行胸腔镜辅助食管癌根治术(McKeown),术后行辅助放化疗。2019年3月29日以“食管鳞癌术后、放化疗后8年,右胸背部疼痛1个多月”就诊于德阳肿瘤医院。完善影像学及穿刺活检行病理检查后,诊断为“食管鳞癌术后放化疗后肋骨转移”。给予化疗(多西他赛+顺铂),同步三维适形放射治疗(DT70 Gy/35 f/35 d)后临床完全缓解。

A 66-year-old male patient with post-esophagectomy 8-year pleural metastasis was admitted to Deyang Cancer Hospital.In 2011,the patient underwent thoracoscopic assisted radical resection of esophageal cancer(McKeown)and postoperative adjuvant chemoradiotherapy.On March 29,2019,the patient was admitted to Deyang Cancer Hospital with“8-year after esophagectomy and chemoradiotherapy,right chest and back pain for more than 1 month”.After completing the imaging examination,aspiration biopsy and immunohistochemistry examination,the diagnosis was“rib metastasis of postoperative of esophageal squamous cell carcinoma”.The tumor was in clinical complete response after chemotherapy(docetaxel+cisplatin)and synchronous three-dimensional conformal radiotherapy(DT70 Gy/35 f/35 d).