A Case Report of Synchronous Triple Cancers at an Early Stage Occurring in the Esophagus, Stomach and Colon

Yoshiyuki Nakai, Eizo Okamoto, Akihiro Toyosaka, Shusaku Habu, Masaharu Takeuchi, Mikio Kuwahara, Kiyoaki Nakamura, Takahiro Ueki, Takaaki Sugimoto

First Department of Surgery, Hyogo College of Medicine

A resected case of synchronous triple cancers confined to the digestive tract (esophagus, stomach and colon) is descrived. A 59-year-old man visited our hospital for detailed examination of the stomach following a mass screening for gastric disease. Endoscopic examination revealed a 0-IIb + IIc cancer in the middle esophagus and a 0-IIc cancer at the gastric angle. Preoperative barium enema and colon fiber revealed a polyp in the descending colon. Endoscopic polypectomy for the colon polyp and endoscopic mucosal resection for the esophageal cancer were performed. Depth of invasion was shown to be m and mm3 for the colon and esophagus. Total resection of the thoracic esophagus was performed and reconstruction was done by a thin stomach roll through the retrosternal route. The gastric cancer was resected by surgical operation. Triple cancers of the esophagus, stomach and colon are rare, with only 14 cases having been reported in Japan. Among those cases, only two were triple cancers, and ours was the only early synchronous triple cancer.

Key words
synchronous triple early cancer, esophagus, stomach and colon

Reprint requests
Yoshiyuki Nakai First Department of Surgery, Hyogo College of Medicine
1-1 Mukogawa-cho, Nishinomiya, 663 JAPAN

Accepted
April 5, 1995

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