Chemoradiotherapy for a patient with a giant esophageal fistula

Figure 3 A: Esophagogram at 3 mo after initial treatment. A giant esophagomediastinal fistula formed at the lower esophagus (black arrowheads); B: Three months after initial treatment. The massive mediastinal tumor completely disappeared with chemoradiotherapy, but a false lumen is shown at the same site (white arrows). No definite infection is observed. The right breast tumor also completely disappeared with chemoradiotherapy (white arrowheads); C: Three months after initial treatment. Abdominal lymphadenopathy completely disappeared with chemotherapy (black arrowhead); D: Two months after suspension of treatment (5 mo after initial treatment). Regrowth of abdominal tumor causing cancerous pain is shown (black arrowheads).