Endoscopy 2005; 37(10): 1023-1026
DOI: 10.1055/s-2005-870271
Case Report
© Georg Thieme Verlag KG Stuttgart · New York

Successful Endoscopic Resection of an Esophageal Metastasis from a Preceding Squamous-Cell Tonsillar Carcinoma

C.  Jaeger1, 2 , A.  May1 , L.  Gossner1 , T.  Rabenstein1 , M.  Schroeder3 , M.  Stolte4 , C.  Ell1
  • 1Dept. of Medicine II, HSK Wiesbaden (Teaching Hospital of the University of Mainz), Wiesbaden, Germany
  • 2Third Medical Dept. and Outpatient Dept., Justus von Liebig University, Giessen, Germany
  • 3Dept. of Otolaryngology, Head and Neck Surgery, Kassel Hospital (Teaching Hospital of the University of Marburg), Kassel, Germany
  • 4Dept. of Pathology, Bayreuth Hospital (Teaching Hospital of the University of Erlangen), Bayreuth, Germany
Further Information

Publication History

Submitted 11 October 2004

Accepted after Revision 18 March 2005

Publication Date:
27 September 2005 (online)

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 IIa - 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.

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C. Ell, M.D.

Dept. of Medicine II · HSK Wiesbaden

Ludwig-Erhard-Strasse 100 · 65199 Wiesbaden · Germany

Fax: +49-611-432418

Email: ell.hsk-wiesbaden@arcor.de