Abstract
An 80-year-old man was referred to our hospital because of anemia.
Gastrointestinal (GI) endoscopy revealed a submucosal tumor with ulcerative lesions at the greater curvature in the corpus of the stomach.
Colonoscopy revealed a circumferential-type tumor in the splenic flexure.
Biopsy revealed a well-differentiated adenocarcinoma.
Upper GI examination and barium enema revealed a fistula between the stomach and transverse colon.
Surgery was performed in June 2004.
The transverse colon tumor developed extramurally and invaded the greater curvature in the corpus of the stomach, the left diaphragm, and the lower lobe of the left lung.
Left hemicolectomy with lymph node dissection, and combined resection of the stomach wall, the diaphragm, and the lower lobe of the left lung were performed.
The resected specimen revealed that a type 5 transverse colon tumor, 13.5 cm×7.5 cm in size, had invaded the stomach wall with gastrocolic fistula, the left diaphragm, and the lower lobe of the left lung.
Histopathologically, it was a well-differentiated adenocarcinoma that had invaded the stomach, the diaphragm, and the lower lobe of the left lung.
The patient died of another illness without any sign of recurrence 8 months after the operation.
