Abstract
Recent significant advances in therapy for esophageal carcinoma have contributed to long-term survival, with some patients having secondary and multiple malignancies. Patients with squamous cell esophageal carcinoma are generally older, smokers, and alcohol drinkers, and they face a high risk of development of other tumors, such as head and neck carcinoma. In the procedure of subtotal esophagectomy, a small segment of the proximal esophagus is left to form the anastomosis with the substitution. Therefore there is a risk of development of a second neoplasm in the proximal remnant esophagus in patients who survive the first esophageal carcinoma. Secondary carcinoma in a reconstructed gastric tube after esophagectomy has also received much attention because the incidence of gastric carcinoma is more frequently than in any other organ. In this report we describe second primary double carcinomas of the residual cervical esophagus and the gastric tube after thoracic esophagectomy.
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