Trans-Hiatal oesophagectomy in an AIDS patient

A 49-year-old man was diagnosed as HIV infected, with a CD4 count of 60 cells/μl. He was started on an antiretroviral treatment regimen comprising zidovudine, lamivudine and efavirenz. Following treatment, his CD4 count improved and the viral load was undetectable. He was subsequently found to have a moderately differentiated adenocarcinoma of the lower oesophagus.