ESOPHAGEAL LEIOMYOSARCOMA
E. N. Novozhilova,
V. I. Popadyuk,
P. V. Kononets,
D. Yu. Kanner,
A. I. Chernolev,
E. M. Marksitser,
O. V. Olyshanskaya https://doi.org/10.21294/1814-4861-2020-19-1-126-133
Abstract
In 2017, esophageal cancer was detected in 7126 patients, including 1962 patients with cervical esophageal cancer. Metastases in regional lymph nodes were detected in 60–70 % of cases. the 5-year survival rate was 25–50 %. Currently, the benefits of minimally invasive surgeries for cancer have been proven, but these surgeries have restricted indications leiomyosarcoma is a rare malignant tumor of smooth muscle, accounting for about 0.3 % of the malignant tumors of the esophagus.
Case presentation. in our first clinical case, we have shown the feasibility of performing surgical resection of cervical esophageal carcinoma with larynx preservation. We have described a rare postoperative complication bending of the graft. the complication was resolved and good voice, protective and swallowing functions were achieved. in the second case, the tumor initially spread to the pear-shaped sinus and beyond the cricoid area, which was a contraindication for the organ-preserving surgery.
Conclusion. the extent of surgery should always be planned taking into account the extension of the primary tumor. in our practice, we prefer to use visceral (intestinal) transplants for patients with circular pharyngeal defects, thus allowing radical surgery to be performed and esophageal motility to be restored. this technique helps patients recover faster after surgery.
About the Authors
E. N. Novozhilova
Moscow City Cancer Hospital № 62,
Рeoples’ Friendship University Of Russia (Rudn University)
Russian Federation
Russian Federation
MD, Head of the Head and Neck Tumor Department, Assistant Professor of the Department of Otorhinolaryngology
Author ID (Scopus): 6508249454
21, Istra Village, Krasnogorsk District, Moscow Region, 143423, Russia
6, Miklukho-Maklaya street, Moscow, 117198, Russia
V. I. Popadyuk
Рeoples’ Friendship University Of Russia (Rudn University)
Russian Federation
Russian Federation
MD, Professor, Head of the Department of Otorhinolaryngology
Author ID (Scopus): 6505923243
6, Miklukho-Maklaya street, Moscow, 117198, Russia
P. V. Kononets
Moscow City Cancer Hospital № 62
Russian Federation
Russian Federation
MD, PhD, Deputy Chief Physician for Surgery; Assistant Professor, Oncology Department, Moscow State University of Medicine and Dentistry named after A.I. Evdokimov
Author ID (Scopus): 57204234
21, Istra Village, Krasnogorsk District, Moscow Region, 143423, Russia
D. Yu. Kanner
Moscow City Cancer Hospital № 62
Russian Federation
Russian Federation
MD, PhD, Chief Physician
Author ID (Scopus): 57193001302
21, Istra Village, Krasnogorsk District, Moscow Region, 143423, Russia
A. I. Chernolev
Рeoples’ Friendship University Of Russia (Rudn University)
Russian Federation
Russian Federation
MD, PhD, Assistant Professor, Department of Otorhinolaryngology
Author ID (Scopus): 14624795500
6, Miklukho-Maklaya street, Moscow, 117198, Russia
E. M. Marksitser
Moscow state university of Medicine and dentistry named after A.I. Evdokimov
Russian Federation
MD, Dentist,
20, Delegatskaya st., Moscow, 127473, Russia
Russian Federation
MD, Dentist,
20, Delegatskaya st., Moscow, 127473, Russia
O. V. Olyshanskaya
First Moscow state Medical university of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation
MD, PhD, Assistant Professor, Department of Analytical, Physical and Colloidal Chemistry
8-2, trubetskaya st., Moscow, 119991, Russia
Russian Federation
MD, PhD, Assistant Professor, Department of Analytical, Physical and Colloidal Chemistry
8-2, trubetskaya st., Moscow, 119991, Russia
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Review
For citations:
Novozhilova E.N., Popadyuk V.I., Kononets P.V., Kanner D.Yu., Chernolev A.I., Marksitser E.M., Olyshanskaya O.V. ESOPHAGEAL LEIOMYOSARCOMA. Siberian journal of oncology. 2020;19(1):126-133. (In Russ.) https://doi.org/10.21294/1814-4861-2020-19-1-126-133
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