Ivor-Lewis oesophagectomy for oesophageal adenocarcinoma after orthotopic liver transplant: an update

I write to update you on the status of the patient presented as a case report entitled “Ivor-Lewis oesophagectomy for oesophageal adenocarcinoma after orthotopic liver transplant: a case report” by Thatcher et al., which is published in your journal (1).

His clinical stage was cT3N0M0. After neoadjuvant chemo-radiotherapy (CROSS protocol), he underwent an Ivor Lewis oesophagectomy. His pathological stage was ypT0N0 (complete pathological response). He was investigated for cough and dyspnoea 15 months post-resection and was found to have a malignant pleural effusion. ¹⁸F-fluorodeoxyglucose (FDG) positron emission tomography (PET) did not show any other disease. He underwent aspiration and talc pleurodesis. He declined palliative chemotherapy and remains asymptomatic 10 months later.

This case highlights the complex considerations of solid-organ malignancy in liver transplant recipients.

Acknowledgments

Funding: None.

Footnote

Provenance and Peer Review: This article was a standard submission to the journal. The article has undergone external peer review.

Conflicts of Interest: The author has completed the ICMJE uniform disclosure form (available at https://dmr.amegroups.com/article/view/10.21037/dmr-22-39/coif). The author has no conflicts of interest to declare.

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References

1. Thatcher K, Frankel A, O’Rourke T, et al. Ivor-Lewis oesophagectomy for oesophageal adenocarcinoma after orthotopic liver transplant: a case report. Dig Med Res 2021;4:19. [Crossref]