Abstract
Coexistence of esophageal carcinoma and hepatocellular carcinoma is rare, and the prognosis has been reported to be unfavorable in such case. We encountered a case of advanced esophageal carcinoma complicated with multiple hepatocellular carcinomas. A 65-year-old male patient was referred to our hospital because of severe dysphagia in May 2006. He was diagnosed as having squamous cell carcinoma in the middle of the thoracic esophagus. Dynamic computed tomography (CT) and abdominal angiography detected two more tumors compatible with hepatocellular carcinoma in the segments 6 and 8 of the liver. After radiofrequency ablation (RFA) therapy against the liver tumors, subtotal esophagectomy was done, followed by biweekly chemotherapy with docetaxel against the residual esophageal carcinomas. At 4 months after the operation, abdominal CT detedted topical recurrence in the segment 8 of the liver. Additional RFA therapy was done. At 8 months after the initial operation, transhepatic arterial chemo-lipiodolization and RFA therapy were added against another topical recurrence in the same segment of the liver. He has no sign of recurrence at present. This case was presented with reviewing the literature.
