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1T4 cervical esophageal cancer cured with modern chemoradiotherapy: A case report显示文摘BACKGROUND T4 esophageal cancer portends a poor prognosis,particularly when it is complicated by a tracheoesophageal fistula(TEF)either resulting from disease or occurring as a complication of treatment.Patients with TEF that occurs during treatment are commonly treated with palliative intent because fistula-associated treatment complications such as aspiration pneumonia and mediastinitis are associated with high morbidity and mortality.To date,there is no clear evidence on the optimal treatment of T4 esophageal cancer,particularly when a TEF formation occurs.CASE SUMMARY A 67-year-old gentleman who presented with dysphagia and weight loss.Endoscopy and imaging revealed a T4N1M0 cervical esophageal squamous cell carcinoma.He received image-guided intensity-modulated radiation therapy,with concurrent weekly carboplatin(area under curve 2 mg/mL per minute)and paclitaxel(50 mg/m2 of body surface area).One week after treatment initiation(16.2 Gy thus far),he developed cough on swallowing.A TEF was detected on image-guided radiation therapy using cone-beam computed tomography during the treatment course,for which a tracheal stent was inserted.After discussing the risks and morbidity of continuing treatment,he resumed chemoradiotherapy with an additional radiation dose of 45 Gy in 25 fractions.Three months after completion of chemoradiotherapy,he developed an esophageal stricture that required esophageal stenting and dilatation.The patient remains cancer-free at two year on follow-up.Complete response of esophageal cancer was evident on post-treatment endoscopy and computed tomography imaging,with successful closure of TEF.CONCLUSION This case highlights that successful curative treatment for esophageal cancer complicated by a TEF is possible using novel chemotherapeutic regimens and modern radiation technologies.Chia Ching Lee Chong Ming Yeo Wee Khoon Ng Akash Verma Jeremy CS Tey 2020World Journal of Clinical Cases2020,8,10:2
2Imaging and staging of transitional cell carcinoma:part 2,upper urinary tract显示文摘Vikram R Sandier CM Ng CS 2009AJR2009,192,6:1
3On-site sorting of construction and demolition waste in Hong Kong 显示文摘Poon CS Ann TW Yu Ng LH 2001Resources Conservation and Recycling2001,32,1:1
4Antifungal susceptibility of eandida albicans biofilms on titanium discs with different surface roughness显示文摘TSANG CS NG H MCMILLAN AS 2007Clin Oral Investig2007,11,4:1
5NRAS mutation status is an independent prognostic factor in metastatic melanoma 显示文摘Jakob JA Bassett RL Ng CS 2012Cancer2012,118,16:1
6Antifungal susceptibility of Candida albicans biofilms on titanium discs with different surface roughness显示文摘Tsang CS Ng H McMil an AS 0,,04:1
7Tranperitoneal versus retroperitoneal lapsroscopic partial nephrectomy:patient selection and peripoerative out- comes显示文摘Ng CS Gill IS Ramani AP 2005J Urol2005,174,3:1
8Transpcritoncal versus retroper- itoneal laparoseopic partial nephrectomy:patient selection and peri- operative outcomes显示文摘Ng CS Gill IS Ramani AP 2005J Uro12005,174,3:1
9Video-assisted thoracic surgery for early stage lung cancer-can short-term immunological advanta- ges improve long-term survival? 显示文摘Ng CS Wan S Hui CW 2006Annals of thoracic and cardio- vascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia2006,12,5:1
10Imaging of neuroendocrine tumors显示文摘Tamm EP Kim EE Ng CS 2007He- matol Oncol Clin North Am2007,21,3:1
11Subcutaneous panniculitis-like T-cell lymphoma:an elusive case presenting as lipomembranous panniculitis and a review of 72 cases in the literature显示文摘Weenig RH Ng CS Perniciaro C 2001Am J Dermatopathol2001,23,3:1
12Mitral valve repair: past, present, and future显示文摘Wong RH Lee AP Ng CS 2010Asian Cardiovasc Thorac Ann2010,18,6:1
13Pulmonary ischaemia-reper- fusion injury: role of apoptosis 显示文摘Ng CS Wan S Yim AP 2005Eur Respir J2005,25,2:1
14Discordance CD3 expression in lymphomas when studied on frozen and paraffin sections显示文摘Chan JKC Tsang WYW Ng CS 1995Hum Pathol1995,26,10:1
15Spontaneous haemopneumo- thorax: current management 显示文摘Ng CS Wong RH Wan IY 2011Postgrad Med J2011,87,1031:1
16Video assisted thoracic surgery in the management of spontaneous pneumothorax : the current status 显示文摘Ng CS Lee TW Wan S 2006Postgrad Med J2006,82,965:1
17Pulmonary dysfunction after cardiac surgery显示文摘Ng CS Wan S Yin AP 2002Chest2002,121,:1
18Video-assisted thoracic surgery for primary spontaneous hemopneumothorax 显示文摘Hwong TM Ng CS Lee TW 2004Eur J Cardiothorac Surg2004,26,5:1
19Laparoscopic management of caliceal diverticular calculi显示文摘Miller SD Ng CS Streem SB 2002J Urol2002,167,3:1
20Imaging and staging of transitional cell carcinoma: part 2, upper urinary tract显示文摘Vikram R Sandier CM Ng CS 2009American Joumal of Roentgenology2009,192,6:1
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