A Case Report of Synchronous Early Esophageal Cancer and Early Gastric Cancer

Keisuke Sakai, Takayoshi Sekikawa, Tadahiko Ogawara, Akihiro Noguchi, Yoshiro Matsumoto

First Department of Surgery, Yamanashi Medical College

A 66-year-old man visited our hospital complaining of heartburn, nausea and weight loss. Endoscopic examination revealed a small elevated lesion, about 1 cm size in the middle esophagus. It was surrounded by macroscopically normal mucosa (5 cm long) which was not stained by Lugol's solution. At the gastric angle, a 10-mm IIc type early gastric cancer was detected. Biopsied specimens showed squamous cell carcinoma and adenocarcinoma in the esophageal and gastric lesions respectively. Total resection of the thoracic esophagus and subtotal gastrectomy were performed, the reconstruction was done by a left hemi-colon transplant through the retrosternal route. Colono-gastric anastomosis was done with an auto-suture apparatus. Early synchronous double cancer of the esophagus and stomach is rare, only 19 cases have been reported in Japan. In most cases, total gastrectomy was performed for the middle and lower gastric cancers in this series. Subtotal gastrectomy was done in only 2 cases (17%) including ours. We present this 20th case of synchronous early esophageal and early gastric cancer with special reference to operative method.

Key words
early esophageal cancer, early gastric cancer, synchronous double cancer of esophagus and stomach

Reprint requests
Keisuke Sakai First Department of Surgery, University of Tokyo
7-3-1 Hongo, Bunkyo-ku, Tokyo, 113 JAPAN

Accepted
January 8, 1992

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