Abstract
An 80-year-old Japanese woman was referred to our hospital with anemia and abdominal distress. Upper gastric endoscopy revealed Barrettʼs esophagus, 20cm in length from the esophagogastric junction, and a type 1 tumor including poorly differentiated adenocarcinoma. Colonoscopy revealed type 2 advanced tumor including tubular adenocarcinoma in the transverse colon. These tumors were resected simultaneously using subtotal esophagectomy and right hemicolectomy. Postoperative recovery was uneventful and the patient was discharged 35 days after surgery. Histopathologic diagnoses were Barrettʼs esophageal adenocarcinoma (Mt-1 T1bN0M0-Stage I) and colon carcinoma (T-2 T3N0M0-Stage Ⅱ). Both tumors were completely resected. In Japan, the prevalence of long-segment Barrettʼs esophagus appears extremely low and the incidence of double cancer of the colon is about 5%. We report herein a case of esophageal adenocarcinoma against a background of long-segment Barrettʼs esophagus accompanied by adenocarcinoma in the transverse colon, with complete surgical resection at the same time.
