Abstract
A 50-year-old male complaining of left hypochondralgia was admitted to our hospital on December 17, 1985. A preoperative diagnosis of the transverse colon cancer with direct invasion to the stomach was made by examinations.
Curative operation (left hemicolectomy with distal gastrectomy, distal pancreatectomy, splenectomy and partial resection of the diaphragm) was performed on December 27, 1985. On gross appearance there was a 120mm colon tumor invading the stomach wall with gastrocolic fistula. Microscopically papillotubular adenocarcinoma invaded the mucosal layer of the stomach.
The patient is working without any sign of recurrence 16 months after surgery.
Smith et al emphasized in their report that microscopically colon cancer with gastrocolic fistula tends to be of a lower grade and lymphatic metastasis is rare. Nine cases of the tumor reported in Japan conformed to their opinion.
