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SAS Journal of Surgery | Volume-12 | Issue-10
Mckeown Esophagectomy for Obstructive Squamous Cell Carcinoma in a 24-Year-Old Man in a Resource-Limited Setting: A Case Report
P.A. Adala Soume, E.L. Botsomogo, E.O. Bilong Elanga, N.R. Fomene, E.A. Ayuketang, TB Tene, NF Tchakoute, C Mbengone Ebolo, B. Jemea, R. Mbele, E.P. Savom, G.A. Bang
Published: Oct. 27, 2026 |
18
11
Pages: 878-882
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Abstract
Introduction: Esophageal squamous cell carcinoma is exceptional before 30 years of age. Case presentation: A 24-year-old man who neither smoked nor drank alcohol, but regularly consumed hot beverages, presented with aphagia and 13.6% weight loss. Endoscopy and computed tomography showed an obstructive middle-third tumor staged cT3N0M0. Because chemoradiotherapy was unavailable, upfront three-stage McKeown esophagectomy was performed. A cervical anastomotic leak draining into the right pleural cavity healed with conservative management by day 28. Histology showed an R0-resected pT3N1 squamous cell carcinoma. Interest: In resource-limited settings, upfront surgery remains a realistic curative option.