Turkish Journal of Thoracic and Cardiovascular Surgery · 7 authors, 2 centres
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This case series reports on three patients with rare synchronous lung and esophageal carcinomas, illustrating the use of a multidisciplinary, patient-specific approach for staging and treatment planning, which included surgery, chemoradiation, or palliation.
This report presents three cases of synchronous lung and esophageal carcinomas, highlighting the diagnostic and therapeutic challenges. Accurate staging is critical to distinguish synchronous primary tumors from metastasis. Treatment decisions were made via a multidisciplinary approach, considering patient-specific factors like histology, tumor localization, and general health. Two patients underwent curative surgical resection—one with a two-stage operation and one with a single-session procedure—while the third, deemed medically inoperable, received palliative stenting followed by chemoradiation. The authors conclude that while curative resection with lymph node dissection is optimal, the high risk of complications necessitates individualized, multidisciplinary decision-making at all stages to potentially achieve good short-term prognosis and improved quality of life.
