A Case of Double Early Gastric Cancers in the Reconstructed Stomach Tube about 4 Years 6 Months after Radical Operation for Synchronous Double Carcinomas of the Esophagus and the Stomach

Abstract

We have experienced a case of double early gastric cancers which have arisen in the reconstructed stomach tube after radical operation for synchronous double cancers of the esophagus and stomach. Only 17 cases of such early gastric cancer including ours have been reported in Japan so far, and 6 cases were treated by endoscopical intervention.
An asymptomatic 78-year-old man was pointed out having a polypoid lesion in the reconstructed stomach tube by upper GI series on medical check-up. Double early gastric cancers of IIa and IIb type were found by endoscopical examination, and were successfully treated by EMR and laser irradiation. On postoperative follow-up, it is important to check not only the recurrence of the esophagus cancer but also the existence of gastric cancer in the reconstructed stomach tube.