A Case of Simultaneous Occurrence of an Early Esophageal Carcinoma and an Early Gastric Carcinoma

Kiyotaka Yabuki, Tadamitsu Yamazaki, Fuminori Fukushima, Seiroh Shiomi, Akira Yamada*, Masao Fujimaki*, Kazuhiro Matsui**

Department of Surgery, Morishita Ichou Hospital
*The Second Department of Surgery, Toyama Medical and Phermaceutical University
**The First Department of Pathology, Toyama Medical Pharmaceutical University

A case of concomitant occurrence of early esophageal carcinoma and early gastric carcinoma is reported. A 46-year-old man was admitted to our hospital after the referring physician found a gastric abnormal shadow on his upper gastrointestinal X-ray film. Endoscopic examination revealed a lower esophageal early carcinoma as well as an early gastric carcinoma at the greater curvature of the lower middle stomach. A subtotal esophagus was stripped out with the whole stomach, and the esophagus was reconstructed with the tranverse colon. Microscopic inspection of the resected specimen revealed an intraepithelial squamous cell carcinoma (2.2×1.6 cm) at te lower esophagus and a poorly differentiated adenocarcinoma (1.2×1.5 cm) at the greater curvature of the lower middle stomach which was limited to the mucosal layer. There was no metastasis to the limphnodes. The occurrence of early esophageal carcinoma with early stomach carcinoma is rare. Only 24 cases have been reported in Japan. Among them only 3 patients had intraepithelial carcinoma.

Key words
early esophageal carcinoma, early gastric carcinoma, simultaneous occurrence of esophageal carcinoma and gastric carcinoma

Reprint requests
Kiyotaka Yabuki The First Department of Surgery, Juntendo University School of Medicine
2-1-1 Hongo, Bunkyou-ku, Tokyo, 1l3 JAPAN

Accepted
March 7, 1990

To read the PDF file you will need Abobe Reader installed on your computer.