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

Makoto Watanabe, Naokuni Yasuda, Tomokazu Kusano, Hitoshi Kimura, Kazuhisa Katayama, Nobuhiro Morinaga, Kazuya Suzuki, Koji Kamisaka, Akira Tsunoda^* and Mitsuo Kusano^*

Department of Surgery, Isesaki Municipal Hospital
Second Department of Surgery, Showa University School of Medicine^*

We report a 67-year-old woman found to have primary squamous cell carcinoma of the stomach with liver metastasis. She was admitted for stomach discomfort. Endscopic findings showed a type3 tumor on the posterior wall of the upper gastric body. The tumor was diagnosed as well-differentiated squamous cell carcinoma from a biopsied specimen. Computed tomography showed a tumor 7 cm in diameter possibly involving the pancreas. Surgery involved total resection of the stomach, resection of the body and tail of the pancreas, splenectomy, lymph node dissection, and enucleation of the left lateral segment of the liver. Based on TNM classification, the tumor was T4N2M1 (Stage IV). Pathological examination showed normal gastric mucosa between the esophagus and squamous cell carcinoma of the stomach. The patient has remained reccurrence free in the 10 mouths since surgery.

Key words
squamous cell carcinoma of the stomach, gastric cancer, liver metastasis

Reprint requests
Makoto Watanabe Department of Surgery, Isesaki Municipal Hospital 1180 Tsunatori-cho, Isesaki city, 372-0812 JAPAN

Accepted
May 27, 2003

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