Five‐year survival after transhiatal resection of esophageal carcinoid tumor with a lymph node metastasis

Abstract

Background. Carcinoid tumors of the esophagus are rare. Most reported cases have had a poor prognosis. The authors report the case of a 64‐year‐old man with a 4‐cm carcinoid tumor of the lower esophagus. Methods. Following endoscopic resection of an argyrophilic, nonargentaffin, carcinoid tumor of the lower esophagus, endosonography showed residual tumor, suggestive of a metastatic lymph node. The findings were confirmed at transhiatal esophagectomy. Results. No recurrence has been observed along the current 5‐year follow‐up. Conclusions. Lymph node metastasis does not rule out the possibility of prolonged survival in esophageal carcinoids. Endosonography is strongly advisable for preoperative evaluation. Copyright © 1993 American Cancer Society