Abstract
A surgical case of primary squamous cell carcinoma of the stomach in a 75-year-old man is reported. He complained of foul breath, eructation and upper abdominal distress. Upper gastrointestinal examination revealed an ill-margined irregular ulcer with an elevated lesion of the middle body of stomach. Biopsy specimens from the lesion were diagnosed histologically as squamous cell carcinoma of the stomach.
On surgical operation, the tumor was proved to have invaded the mesocolon and metastasized to the liver, corresponding with CT-scan that was performed preoperatively. The pyloric side of the stomach and the involved mesocolon were resected and R2 curretage was performed.
Histopathological examination of the resected tumor in twenty four sections showed it to be pure squamous cell carcinoma. Similar findings were also obtained on the histopathological exploration of the metastatic lymphnodes.
Intraarterial injection of etoposide, adriamycin and cisplatin (EAP) through the catheter placed in the common hepatic artery elicited partial regression in the metastatic lesion of the liver.
