Metastasis of cancer to cancer: report of a case of esophageal carcinoma metastasizing to early gastric cancer.

T Koyama, M Matsumori, K Nakamura, T Fujimori
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引用次数: 5

Abstract

A rare case of esophageal carcinoma metastasizing to early gastric cancer is reported herein. A 66 year old man who had experienced dysphagia for 8 months was preoperatively diagnosed as simultaneously having esophageal and gastric cancers. Thus, a lower esophagectomy and total gastrectomy with paraesophageal and paragastric lymph node dissection were performed. The surgical specimen revealed an ulcerative tumor in the lower esophagus and a slightly depressed lesion with a central elevation similar to that of early type IIc + IIa gastric cancer in the upper part of the stomach. Microscopically, the esophageal tumor was revealed to be well differentiated squamous cell carcinoma while the gastric tumor was found to be early gastric cancer with a metastatic focus of esophageal cancer in the center. Though less than one hundred cases of metastasis of cancer to cancer have previously been reported, metastasis from cancer of one digestive organ to that of another digestive organ is very rare. To our knowledge, this report represents the first case of an esophageal carcinoma metastasizing to a gastric carcinoma.

癌向癌转移:食管癌向早期胃癌转移1例报告。
本文报告一例罕见的食管癌转移到早期胃癌。66岁男性,吞咽困难8个月,术前诊断为同时患有食管癌和胃癌。因此,我们进行了下食管切除术和全胃切除术,并进行了食管旁和胃旁淋巴结清扫。手术标本显示食道下部溃疡性肿瘤,并有轻微凹陷病灶,中央抬高,与胃上部早期IIc + IIa型胃癌相似。镜下食管肿瘤为高分化鳞状细胞癌,胃肿瘤为早期胃癌,中心为食管癌转移灶。虽然以前报道的癌症转移病例不到100例,但从一个消化器官转移到另一个消化器官的癌症是非常罕见的。据我们所知,这是第一例食管癌转移到胃癌的病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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