Abstract
Seventy-one year old Japanese male with advanced hypopharyngeal carcinoma (T4N2M0), originating from right pyriformis sinus, extending to the inferior border of torus tubarius, was totally laryngopharyn- gectomised after preoperative irradiation with total dosis of 41.2 Gy, followed by free jejunal autograft in loop-like fashion with wide opening for oral side. Dysphagia such as food retention at the site of pharynx due to a hammock like hollow and stenosis of the esophageal junction have continued postoperatively, but the latter of which was improved by repeated therapy using bougie. At the time of laparotomy, a sigmoid colon carcinoma invading pelvic cavity was incidentally found. After removal of the colon, colostomy was performed. The pelvic lesion was treated with chemotherapy including CDDP, leukovolin and 5FU followed by irradiation with total dosis of 51.2 Gy. Preoperative anorectal examination was necessary especially in case of the hypopharyngeal carcinoma.
