Gastroesophageal 癌症和 retroperitoneal 纤维变性: 二份案例报告和文学的评论

• 作者: Renata D’Alpino Peixoto Jasem Al-Barrak Howard Lim Daniel Renouf
• 来源期刊: 世界胃肠肿瘤学杂志：英文版（电子版）
• 学科: 医学
• 关键词: Gastric CANCER Esophageal CANCER Retro-peritoneal fibrosis
• 年，卷（期）: 2013,（3）
• 页码范围: 68-70
• 页数: 3页
• 分类号: R730.6

摘要

Retroperitoneal fibrosis secondary to malignant disease is a rare condition associated with a dismal prognosis. We herein present the first ever reported case of ret-roperitoneal fibrosis related to esophageal adenocarcinoma in a 63-year-old patient who developed bilateral ureteral obstruction due to extensive retroperitoneal fibrosis 18 mo after having completed neoadjuvant chemoradation followed by surgery for a pT3N0 ad-enocarcinoma of the distal esophagus. We also report the case of a previously healthy woman who presented with bilateral ureteral obstruction and diffuse narrowing of the common biliary duct and was found to have extensive retroperitoneal fibrosis as a consequence of metastatic gastric adenocarcinoma. Both patients had poor performance status and were unsuitable for pallia-tive chemotherapy. This paper shows that urinary and biliary obstructive symptoms might represent retroperi-toneal fibrosis as a consequence of gastroesophageal malignancy.