| Pyogenic liver abscess caused by direct invasion of esophageal squamous cell carcinoma to the liver: Report of a case. | |
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MedLine Citation:
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PMID: 21874424 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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We report a case of esophageal squamous cell carcinoma (ESCC) directly invading the liver and causing a pyogenic liver abscess. The patient was a 66-year-old man who presented with dysphagia. Esophagography, endoscopic study, and computed tomography (CT) showed a mass lesion in the lower third of the esophagus. A high fever developed on hospital day 17 and another CT scan revealed a liver abscess, 50 × 45 mm, in the left lateral lobe of the liver. Although imaging demonstrated a liver abscess continuous with the tumor, we performed percutaneous transhepatic drainage, followed thereafter by distal esophagectomy and total gastrectomy with a left lateral segmental resection of the liver. The pathological findings confirmed a diagnosis of ESCC with direct invasion (T4N1M0, stage IVa in the TNM classification). The patient had an uneventful postoperative recovery. Microscopic examination of the resected specimen revealed the expansive growth of tumor cells into the hepatocellular tissues. To our knowledge, this is the first report of the direct invasion of esophageal cancer to the liver causing a pyogenic liver abscess; however, it should be borne in mind when a patient with esophageal cancer becomes febrile. |
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Authors:
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Ichiro Akagi; Masao Miyashita; Hiroshi Makino; Tsutomu Nomura; Keiichi Okawa; Nobutoshi Hagiwara; Junji Ueda; Takeshi Yamada; Tetsuya Shimizu; Ken Takahashi; Kimiyoshi Yokoi; Eiji Uchida |
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Publication Detail:
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Type: Journal Article Date: 2011-08-26 |
Journal Detail:
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Title: Surgery today Volume: 41 ISSN: 1436-2813 ISO Abbreviation: Surg. Today Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-08-29 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9204360 Medline TA: Surg Today Country: Japan |
Other Details:
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Languages: eng Pagination: 1247-51 Citation Subset: IM |
Affiliation:
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Department of Surgery for Organ Function and Biological Regulation, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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