Koyama T, Matsumori M, Nakamura K, Fujimori T
Second Department of Surgery, Kobe University School of Medicine, Japan.
Jpn J Surg. 1991 May;21(3):352-6. doi: 10.1007/BF02470960.
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.
本文报告了一例罕见的食管癌转移至早期胃癌的病例。一名66岁男性，有8个月吞咽困难病史，术前诊断为同时患有食管癌和胃癌。因此，实施了食管下段切除术和全胃切除术，并进行了食管旁和胃旁淋巴结清扫。手术标本显示食管下段有一个溃疡性肿瘤，胃上部有一个略凹陷的病变，中央隆起，类似于早期IIc + IIa型胃癌。显微镜下，食管肿瘤为高分化鳞状细胞癌，而胃肿瘤为早期胃癌，中央有食管癌转移灶。虽然此前报道的癌症转移至癌症的病例不到100例，但一个消化器官的癌症转移至另一个消化器官的情况非常罕见。据我们所知，本报告是首例食管癌转移至胃癌的病例。
