Valduga Paolo, Fiamingo Pietro, Prezzi Cristina, Marcucci Stefano, Eccher Claudio
Unità Operativa di Chirurgia Generale II, Ospedale Santa Chiara, Trento.
Chir Ital. 2008 May-Jun;60(3):449-52.
We describe the case of a male patient, aged 50, affected by an undifferentiated cancer of the gastric stump of a Billroth II gastric resection associated with a well-differentiated squamous-cell cancer of the oesophagus. The patient was submitted to gastrectomy and removal of the oesophagus together with reconstruction trough colon interposition. The association of the two synchronous neoplasms of the stomach and oesophagus is a very uncommon event, as the evidence in the medical literature demonstrates. Nevertheless, for the purposes of achieving in the right surgical planning, it is important to take this possibility into consideration in the preoperative management of oesophageal cancer, through the study of the organs which could be used to reconstruct the transit (stomach, colon). The association with a gastric neoplasm implies the use of the other organs (colon, ileum). However, for a number of selected cases of association with early gastric cancer, Japanese authors have suggested using the stomach in place of the oesophagus.
我们描述了一名50岁男性患者的病例，该患者患有毕Ⅱ式胃切除术后胃残端未分化癌，同时伴有食管高分化鳞状细胞癌。患者接受了胃切除术以及食管切除并通过结肠间置进行重建。胃和食管这两种同步性肿瘤的关联是非常罕见的事件，正如医学文献中的证据所示。然而，为了在正确的手术规划中实现这一点，在食管癌的术前管理中，通过研究可用于重建消化道的器官（胃、结肠）来考虑这种可能性是很重要的。与胃肿瘤的关联意味着要使用其他器官（结肠、回肠）。然而，对于一些与早期胃癌相关的特定病例，日本作者建议用胃来替代食管。
