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May 1, 2026The Japanese Journal of Gastroenterological SurgeryOpen Access

A Case of Esophageal Cancer with a Metastatic Right No.104 Lymph Node and Suspected Common Carotid Artery Invasion Successfully Resected via a Transcervical-Thoracic Approach

Yuta Susa Naoya Okada Yusuke Tsunetoshi Takumi Yamabuki Minoru Takada Kentaro Kato Yoshiyasu Ambo Zenichi Tanei Satoshi Ota Yoshihiro Kinoshita

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Key Points

To report a case of esophageal cancer with lymph node metastasis and evaluate the surgical intervention approach.
Performed a transcervical-thoracic surgical resection after chemoradiotherapy for esophageal cancer.
Utilized ultrasound guidance for lymphadenectomy while preserving adjacent critical structures.
Assessed local disease control and surgical outcomes post-operatively.
Successfully resected the lymph node metastasis and tumor with preserved common carotid artery and recurrent laryngeal nerve.
Post-operative rehabilitation showed mild shoulder joint dysfunction after clavicle resection.
Achieved reduction in primary tumor size, indicating positive response to prior chemoradiotherapy.

Implication

Case report shows effective surgical removal of metastatic lymph nodes in esophageal cancer, indicating promising prognosis.

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Cite This Study

Susa et al. (2026) studied this question.

synapsesocial.com/papers/6a1bcf835783ba022b6fb910 https://doi.org/10.5833/jjgs.2025.0049

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