A CASE OF GASTRIC CANCER WITH METASTASIS TO THE ESOPHAGUS

Abstract

A 64-year-old man was referred to our hospital in March 2007, because he had been diagnosed as having gastric cancer with multiple liver metastasis in another hospital. EGD revealed diffuse ulceration and fold thickness on body of the stomach. Computed tomography revealed a wall thickness of total body of the stomach and multiple liver metastasis. He was diagnosed to have gastric cancer, cStage IV. Chemotherapy using S-1 was performed. However, the effect of chemotherapy decreased gradually. EGD was performed in December 2007 because of difficulty of oral intake. EGD showed longitudinal nodules of the lower esophagus. Histopathological examination showed adenocarcinoma in the submucosa of the esophagus. The lesion was diagnosed as metastasis of the esophagus from gastric cancer.