[Perforation of XXXX (author's transl)].

@entity5 @entity1 @entity418
Perforation of an @entity418 can occur spontaneously or during radiotherapy. If the perforation is the first manifestation of the @entity5 , the diagnosis depends on X-ray and endoscopy. During radiotherapy, the intending perforation must be carefully watched for. We have treated two perforations appearing as first manifestation of the @entity5 and 3 developed during evolution, 2 of them during radiotherapy. Various treatments have been applied. In 2 cases, resection was possible, curative in one, palliative in the other. In the other 3 cases, retrosternal by-pass has allowed feeding and radiotherapy. Such a complication generally condemns the @entity1 to a gastrostomy. However, a more aggressive surgical attitude can be adopted if the general status of the @entity1 permits. An esophageal endo-prosthesis can also be used.
