Iioka Y, Tsuchida A, Okubo K, Ogiso M, Ichimiya H, Saito K, Osaka Y, Sato S, Aoki T, Koyanagi Y
Department of Surgery, Makino Memorial Hospital, Yokohama, Japan.
Surg Today. 2000;30(4):368-71. doi: 10.1007/s005950050602.
We report herein an unusual case of metachronous triple cancers of the sigmoid colon, stomach, and esophagus. A 60-year-old man was initially admitted to our hospital for investigation of occult fecal blood. This was found to be caused by sigmoid colon cancer which was resected in July 1985 (T3, N0, M0; Stage II). A follow-up endoscopy performed in 1990 showed early gastric cancer, and a gastrectomy was performed in August 1990 (Tis, N0, M0; Stage 0). Another endoscopic examination performed as follow-up in 1993 revealed early cancer of the remnant stomach, and all the remnant stomach was surgically resected in March 1993 (Tis, N0, M0; Stage 0). He presented again in December 1996, complaining of discomfort in the chest which was found to be caused by cancer of the middle thoracic esophagus. Although surgery was considered necessary, the patient refused to undergo any further operations. Instead, radiation was administered from January 1997. An endoscopy after the completion of radiotherapy confirmed that the cancer had almost disappeared; however, it started to grow again from the beginning of 1998. He was hospitalized due to esophageal stenosis in April 1998, and died of carcinomatous cachexia in September of the same year.
我们在此报告一例罕见的乙状结肠、胃和食管异时性三联癌病例。一名60岁男性最初因隐匿性便血入院我院检查。发现是由乙状结肠癌引起，该肿瘤于1985年7月切除（T3，N0，M0；Ⅱ期）。1990年进行的随访内镜检查显示早期胃癌，并于1990年8月进行了胃切除术（Tis，N0，M0；0期）。1993年作为随访进行的另一次内镜检查发现残胃早期癌，并于1993年3月手术切除了所有残胃（Tis，N0，M0；0期）。他于1996年12月再次就诊，主诉胸部不适，发现是由胸段中段食管癌引起。尽管认为有必要进行手术，但患者拒绝接受任何进一步手术。取而代之的是，从1997年1月开始进行放疗。放疗结束后的内镜检查证实癌症几乎消失；然而，从1998年初开始它又开始生长。他于1998年4月因食管狭窄住院，并于同年9月死于癌性恶病质。
