Cervical esophaguectomy plus tracheal resection and free jeyuno graft as treatment of esophageal granular cell tumor.

Abstract:

:Granular cell tumor is a very rare entity (0.03%) with controversial management, due to its low incidence and its usually benign behavior (98%). Its location in the digestive tract is unusual (3-11%), being the esophagus the most frequently affected organ, with about 400 published cases. However, the incidence in the cervical esophagus is anecdotal (20 published cases). We present a patient with an esophageal granular cell tumor that invaded trachea, thyroid and soft tissues, performing a block resection of the cervical esophagus, two tracheal rings, thyroid and prethyroid musculature. For digestive reconstruction, a free jejunum graft with microvascular anastomosis was made and tracheal reconstruction was performed using term-terminal anastomosis. The importance of the case is twofold: to contribute more casuistry, and to describe a highly complex surgical technique never indicated in this type of tumors, due to its rarely aggressive character.

journal_name

Cir Esp

journal_title

Cirugia espanola

authors

Miró M,Rivas F,López A,Farran L

doi

10.1016/j.ciresp.2020.09.009

subject

Has Abstract

pub_date

2020-10-22 00:00:00

eissn

0009-739X

issn

1578-147X

pii

S0009-739X(20)30310-9

pub_type

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