Abstract
A 65-year-old man who was admitted to our hospital with dysphagia was diagnosed with advanced esophageal cancer with synchronous liver metastasis. He was initially treated by systemic chemotherapy with 5-fluorouracil and cisplatin. After four courses, the liver lesion shrunk in size, but the primary lesion showed no change. However, blood transfusion was necessary because of severe anemia due to toxicity. A two-stage operation involving esophagectomy for the primary lesion followed by hepatectomy for the synchronous liver metastasis was planned. Both postoperative courses were uneventful, and the patient has been well with no recurrence 46 months after the esophagectomy. Under limited conditions, surgery could be useful for patients with synchronous liver metastasis of esophageal cancer.
