Staged closure of tracheogastrocutaneous fistula after esophagectomy for infiltrative granular cell tumor  Robert Merritt, MD, Steven M. Zeitels, MD,

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Staged closure of tracheogastrocutaneous fistula after esophagectomy for infiltrative granular cell tumor  Robert Merritt, MD, Steven M. Zeitels, MD, William G. Austen, MD, Gregory Y. Lauwers, MD, Henning A. Gaissert, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 134, Issue 3, Pages 805-807 (September 2007) DOI: 10.1016/j.jtcvs.2007.05.029 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Computed tomographic scan demonstrates a cervical mass displacing both the tracheal and esophageal lumen. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 805-807DOI: (10.1016/j.jtcvs.2007.05.029) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Incisions for first stage of reconstruction with extent of clavicular and manubrial resection. B, Location of fistula. C, Result of reconstruction after the first stage. D, Result of reconstruction after the second stage. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 805-807DOI: (10.1016/j.jtcvs.2007.05.029) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Infiltrative granular cell tumor. A, The dense cellular proliferation infiltrated the skeletal muscle (hematoxylin and eosin stain; original magnification 100×). B, The higher magnification (hematoxylin and eosin stain; original magnification 200×) demonstrates the characteristic abundant eosinophilic granular cytoplasm of the cells. The cellular spindling and presence of nucleoli was atypical. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 805-807DOI: (10.1016/j.jtcvs.2007.05.029) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions