부산대학교 도서관

Basaloid-squamous carcinoma (BSC) is an uncommon type of esophageal cancer and is known for its poor prognosis. BSC patients who could survive for long time after surgical removal of hepatic metastases are rare. We present a patient with BSC with liver metastases, who is alive more than 5 years after resection of the primary lesion followed by twice hepatic resections.A 59-year-old man complained of dysphagia was found to have lower thoracic esophageal carcinoma by close examinations. Esophagectomy and reconstruction were planned as a two staged operation. Before the second-stage reconstruction, a metastatic liver mass was found in the posterosuperior segment of right hepatic lobe (S7). We performed a partial hepatectomy accompanying with esophageal reconstruction. The pathological diagnosis was liver metastasis of BSC of the esophagus. During followup period, a mass reappeared in the S7. After chemotherapy with cisplatin and fluorouracil, we conducted subsegmentectomy of S7. Currently he is free of recurrence without adjuvant chemotherapy as of 5years and 2 months after esophagectomy (or 4 years and 3 months after surgery for hepatic metastases).