A Case of Primary Squamous Cell Carcinoma of the Stomach with Brain Metastasis

Akira Watanabe, Matsumi Umehara, Matsuomi Umehara¹⁾, Koji Horiba¹⁾, Koji Sasajima¹⁾, Kiyohiko Yamashita¹⁾, Masahiko Onda¹⁾, Yoji Node²⁾

Department of Surgery, Umehara Hospital
¹⁾First Department of Surgery, Nippon Medical School
²⁾Department of Neurological Surgery, Nippon Medical School

A case report of primary squamous cell carcinoma of the atomach is presented. A 62-year-old man complaing of upper abdominal discomfort and tarry stool was referred to our hospital for severe anemia. Gastroscopy revealed a large ulcerative lesion on the lesser curvature of the upper gastric body. Biopsy of the lesion was performed and squamous cell carcinoma was suspected. The total gastrectomy with distal pancreaticosplenectomy was performed. Macroscopically, the tumor appeared to be a Borrmann 2 type cancer and was on the upper body of the resected stomach about 1 cm from the esophageal mucosa. Histology indicated that the tumor was poorly differentiated squamous cell carcinoma proliferating as irregular solid nests and sharply demarcated from the esophagus. Postoperative follow-up was uneventful for 9 months, after which time however a brain metastasis was found. The metastatic lesion of the brain was extirpated. The patient is presently in a good condition, 2 years and 4 months after gastrecromy. Primary squamous cell carcinoma of the stomach is an extremely rare lesion and only 26 cases, including our case, have been reported in the Japanese literature.

Key words
squamous cell carcinoma, gastric cancer

Reprint requests
Akira Watanabe Department of Surgery, Umehara Hospital
455-1 Kobuchi, Kasukabe, 344 JAPAN

Accepted
February 12, 1997

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