1987 Volume 29 Issue 2 Pages 288-295
In recent years early esophageal carcinoma has been reported with increasing frequency. This study is to report a case of an early esophageal carcinoma concomitant with an early gastric carcinoma. A 62-year-old man, who was diagnosed as early gastric carcinoma was admitted to our hospital for further observations. By upper GI endoscopic examination, there revealed a reddish small lesion in the lower esophagus as well as a gastric carcinoma. The biopsied specimen showed esophageal carcinoma. Lower esophagectomy and total gastrectomy were performed. On gross inspection of the resected specimen, there were flat lesion (0.5 × 0.7 cm) at the lower esophagus in addition to IIc lesion (1.8 × 5.0 cm) at the gastric antrum. The esophageal lesion showed a well differentiated squamous cell carcinoma at the mucosal layer, whereas the qastric lesion consisted of signet-ring cell carcinoma at the mucosal layer extending to the submucosa. There was no metastasis to lymph nodes. Concomitant association of an early esophageal carcinoma and an early gastric carcinoma is rare and only 10 cases have been reported in Japan up to present.
