Abstract
We report a rare case of esophageal carcinoma with gastric-wall metastasis. A 67-year-old man with epigastralgia and dry cough, was found in endoscopy, upper GI series and chest-abdominal computed tomography to have esophageal carcinoma and gastric cancer. Esophageal carcinoma was located in the lower thoracic esophagus (Lt). Two lesions were seen in the stomach, Type 1 located in the lesser curvature of the upper body, and 0-IIc in the posterior wall of the antrum. We undertook a total thoracic esophagogastrectomy and removed the regional gastric and esophageal lymph nodes en bloc. The left hemicolon was interposed a retrosternally. Pathologically, the depth of invasion of the esophageal Lt lesion was SM3 and gastric upper body tumor was pMP. Both were squamous cell carcinoma. 0-IIc of gastric antrum was well-differenciated adenocarcinoma. Esophageal carcinoma with gastric intramural metastasis is very rare and was dismal prognosis. The patient is doing well so far 11 months postoperatively.
