Yoshizumi Y, Sima S, Sugiura Y, Yonekawa H, Ogata T
Gan No Rinsho. 1985 Aug;31(10):1327-31.
A 65-year-old man with superficial esophageal cancer associated with gastric wall metastasis is presented. He had suffered from epigastralgia and dysphagia for two months. X-Ray and endoscopic examination revealed esophageal erosion at the right wall of the lower esophagus and a large gastric submucosal tumor at the lesser curvature of the upper and middle stomach. Resection of the lower esophagus and total gastrectomy were performed. Histologically, the erosion of the lower esophagus was moderately differentiated squamous cell carcinoma invading as deep as the submucosal tissue and the tumor of the stomach was metastasis of the esophageal cancer. Intramural metastasis of esophageal cancer was discussed.
本文报告一例65岁男性浅表性食管癌伴胃壁转移患者。他有两个月的上腹部疼痛和吞咽困难症状。X线和内镜检查显示食管下段右壁糜烂,胃中上段小弯侧有一个大的胃黏膜下肿瘤。行食管下段切除术和全胃切除术。组织学检查显示,食管下段糜烂为中分化鳞状细胞癌,侵犯深度达黏膜下层,胃肿瘤为食管癌转移。对食管癌壁内转移进行了讨论。