A Case of Early Synchronous Double Cancer of Esophagus and Stomach

Hiroyuki Kawamura, Makoto Kataoka, Yoshiyuki Kuwabara, Yasuyuki Kureyama, Hiroshi Iwata, Noriyuki Shinoda, Taketoshi Kashima, Atsushi Satou, Kouji Hattori, Kouichirou Nakano, Hidenori Sumita, Akira Masaoka

Second Department of Surgery, Nagoya City University Medical School

A 56-year-old man visited our department for examination of type I early gastric cancer of the upper body of the stomach, which was indicated in a mass examination. Thorough examination revealed superficial and distinctly depressed early esophageal cancer of the lower intra-thoracic esophagus. The patient was admitted to our department under the diagnosis of early synchronous double cancer of esophagus and stomach, and underwent subtotal esophagectomy, cardiectomy, and reconstruction with a gastric tube. Early synchronous double cancer of esophagus and stomach is rare, and only 37 cases, including ours, have been reported in Japan. These 37 cases were reviewed and were clinically investigated in this study. The patients were 32 males and 4 females with an average age of 62 years. Many of the esophageal cancers were of the superficial and protruding type, or superficial and distinctly depressed type of the middle and lower intra-thoracic esophagus with sm invasion, and many of the gastric cancers were of the IIc type of area A. The incidence of multiple cancers was high: multiple esophageal cancers in 3 (8%) and multiple gastric cancers in 8 (22%). Subtotal esophagectomy or total gastrectomy was frequently performed (21 patients, or 57%), performed. Four (19%) of the 23 patients in whom the outcome was followed up died within one year after the operation. In operating on early synchronous double cancer of esophagus and stomach, it is important to select a surgical procedure that can yield a cure with minimal surgical stress.

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

Reprint requests
Hiroyuki Kawamura Second Department of Surgery, Nagoya City University Medical School
1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467 JAPAN

Accepted
April 14, 1993

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