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This report describes the case of a 62- year- old man with tonsillar carcinoma who had undergone esophagectomy due to an esophageal metastasis. Subsequently, a second metastasis occurred in the residual esophagus, and he presented for evaluation for local endoscopic therapy. The initial upper endoscopy revealed a type Ⅱ a- c lesion at 21 cm from the incisors, within a segment suspicious for Barrett s mucosa. As part of the complex treatment approach in this patient, endoscopic resection of the lesion was carried out using the suck- and- cut technique with ligation. Histology showed that the lesion was a metastasis from a squamous- cell carcinoma, with focal infiltration of the upper submucosal layer and vascular invasion consistent with the hypothesis of hematogenous spread from the preceding tonsillar carcinoma. The resection margins were tumor- free. At the time of writing, the patient had been recurrence- free for more than 9 months. In summary, the present paper describes a unique case of successful endoscopic resection of an esophageal metastasis associated with an antecedent tonsillar carcinoma.
The report describes the case of a 62- year- old man with tonsillar carcinoma who had undergone esophagectomy due to an esophageal metastasis. endoscopy revealed a type Ⅱ a- c lesion at 21 cm from the incisors, within a segment suspicious for Barrett’s mucosa. As part of the complex treatment approach in this patient, endoscopic resection of the lesion was carried out using the suck- and - cut technique with ligation. Histology showed that the lesion was a metastasis from a squamous-cell carcinoma, with focal infiltration of the upper submucosal layer and vascular invasion consistent with the hypothesis of hematogenous spread from the due tonsillar carcinoma. The resection margins were tumor - free. At the time of writing, the patient had been recurrence- free for more than 9 months. In summary, the present paper describes a un ique case of successful endoscopic resection of an esophageal metastasis associated with antecedent tonsillar carcinoma.