Abstract
BackgroundPort site recurrence has been observed after a variety of oncologic resection procedures. However, few have reported port site recurrence of esophageal cancer.Case presentationA 51-year-old man underwent minimally invasive esophagectomy for pT3(AD)N3M0 adenocarcinoma of the esophagus. One year after surgery, he presented with a rapidly growing tumor on the right thoracic wall. Contrast computed tomography demonstrated an enhancing tumor with uptake on positron emission tomography. We performed resection of the thoracic wall, including the skin and subcutis. The pathologic diagnosis was poorly differentiated adenocarcinoma, consistent with metastasis of esophageal origin.ConclusionThis was the first report on thoracic port site recurrence of esophageal adenocarcinoma. We recommend elimination of leakage around the thoracoscopic ports to prevent such recurrence. We should provide prudent postoperative clinical surveillance.
Highlights
This was the first report on thoracic port site recurrence of esophageal adenocarcinoma
Port site recurrence was first reported by Dobronte et al in 1978 and has been observed after a variety of oncologic resection procedures [1]
We described the case of thoracic port site recurrence 1 year after minimally invasive esophagectomy for poorly differentiated esophageal adenocarcinoma
Summary
Thoracoscopic port site recurrence after minimally invasive esophagectomy can occur. We recommend elimination of leakage around the thoracoscopic ports to prevent such recurrence. The risks for port site recurrence should be recognized and prudent postoperative clinical surveillance should be provided
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