Squamous cell carcinoma in esophageal remnant after 24 years: lessons learnt from esophageal bypass surgery

Cervical esophageal carcinoma has been a vexing problem because of the mult icentric nature of the disease, the common advanced stage at presentation ( with invasion of important adjacent structures, especially the trachea or l arynx), and difficulty in satisfactorily reconstructing pharyngogastric con tinuity after extensive resection, In this case report, we highlight the co mplexity of managing squamous cell carcinoma of the cervical esophagus, whi ch can reappear either as a new primary or recurrence, in a retained esopha geal segment 24 years after esophageal bypass surgery. We strongly recommen d total esophagectomy at the time of initial surgery and not 24 years later .