Gastric Wall Metastasis from Esophageal Carcinoma. Report of a Case

Masahiro Uehara, Dai Manaka, Yasuo Matsutani, Yuto Oji, Kazunori Takemura, Masaki Shimizu and Masashi Noguchi

Department of Surgery, Kyoto Katsura Hospital

We report a rare case of esophageal carcinoma with gastric-wall metastasis. A 67-year-old man with epigastralgia and dry cough, was found in endoscopy, upper GI series and chest-abdominal computed tomography to have esophageal carcinoma and gastric cancer. Esophageal carcinoma was located in the lower thoracic esophagus (Lt). Two lesions were seen in the stomach, Type 1 located in the lesser curvature of the upper body, and 0-IIc in the posterior wall of the antrum. We undertook a total thoracic esophagogastrectomy and removed the regional gastric and esophageal lymph nodes en bloc. The left hemicolon was interposed a retrosternally. Pathologically, the depth of invasion of the esophageal Lt lesion was SM3 and gastric upper body tumor was pMP. Both were squamous cell carcinoma. 0-IIc of gastric antrum was well-differenciated adenocarcinoma. Esophageal carcinoma with gastric intramural metastasis is very rare and was dismal prognosis. The patient is doing well so far 11 months postoperatively.

Key words
esophageal carcinoma, superficial cancer, gastric-wall metastasis

Reprint requests
Masahiro Uehara Department of Surgery, Kyoto Katsura Hospital
17 Yamada-Hirao, Nishikyo-ku, Kyoto, 615-8256 JAPAN

Accepted
June 27, 2007

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