Abstract
We experienced a case of carcinoma arising in the reconstructed gastric tube after a radical operation for esophageal cancer. This patient, a 66-year-old man, underwent total thoracic esophagectomy and retro-sternal reconstruction by a gastric tube for esophageal cancer 6 years earlier. This time, Borrmann 4 type advanced cancer was discovered in the lower part of the gastric tube under the chief complaint of dysphasia. Although total resection of the gastric tube and ante-thoracic reconstruction using the right half of the colon was performed, the operation was noncurative because of direct invasion into the pericardium and the mediastinal pleura. Pathological examination revealed moderately differentiated adenocarcinoma, scirrhous, positive first grade lymph node metastasis, stage IV. The patient is doing well nine months after the operation. Forty-seven such cases reported in Japan by 1990, including our case, were reviewed and discussed. Careful follow-up study after esophageal surgery is necessary to detect early cancer of the gastric tube.
