Matsuura H, Morita M, Tsutsui S, Kido Y, Mori M
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Int Surg. 1992 Apr-Jun;77(2):69-71.
A review of data on 360 patients with esophageal squamous cell carcinoma who underwent esophageal resection revealed 14 cases (3.9%) and 16 lesions with synchronous gastric carcinomas. Among the 16 lesions, there were 14 (87.5%) early gastric carcinomas and two advanced carcinomas. Of the 14 early gastric carcinomas, two were minute (less than 5 mm in the largest diameter) early gastric carcinomas and four small (6-10 mm in the largest diameter). These gastric carcinomas were in a relatively early stage. The six early gastric carcinomas were not detected preoperatively. However, a thorough observation of the gastric mucosa could not be done in four of those due to stenosis which had developed as a result of the esophageal carcinoma. Therefore, intraoperative gastric observation should be done in cases in which the findings of the preoperative endoscopic examination of the stomach are inadequate and the upper gastrointestinal series reveal certain gastric abnormalities.
对360例行食管切除术的食管鳞状细胞癌患者的数据回顾显示，有14例（3.9%）患者存在16处同步性胃癌病灶。在这16处病灶中，有14处（87.5%）为早期胃癌，2处为进展期癌。在14例早期胃癌中，2例为微小（最大直径小于5mm）早期胃癌，4例为小（最大直径6 - 10mm）早期胃癌。这些胃癌处于相对早期阶段。6例早期胃癌术前未被检测到。然而，其中4例由于食管癌导致的狭窄而无法对胃黏膜进行全面观察。因此，对于术前胃内镜检查结果不充分且上消化道造影显示有某些胃部异常的病例，应在术中对胃进行观察。
