Tumor seeding of the jejunostomy site after transhiatal esophagectomy for esophageal carcinoma

A 65-year-old male patient with squamous cell carcinoma of the esophagus ha d a transhiatal esophagectomy after a prophylactic tube jejunostomy, The tu be was removed 3 weeks after surgery. Ten months later, a painless 2-cm abd ominal mass was noted at the previous jejunostomy site. Subsequent segmenta l resection of the jejunum disclosed metastatic squamous cell carcinoma of the esophagus, It is possible that tumor seeding may develop at the jejunos tomy site after transhiatal esophagectomy for esophageal carcinoma.