Abstract
A case of synchronous double cancer of the esophagus and gallbladder associated with exophageal achalasia was experienced.
A 73-year-old male was admitted to the hospital because of hematoemesis. He had been having passage disturbance of foods for about 50 years, with which he never visited any hospital. On admission an esophageal tumor associated with esophageal achalasia was found by esophagogram and endscopic examination. The esophageal cancer was ulcer type existing in Im and achalasia was FIII type. Immediately subtotal resection of the esophagus followed by reconstruction with stomach tube was performed. Histopathologically the cancer was squamous cell carcinoma with a depth of invasion of mp, and the ganlion cells disappeared in the lower two third portion of the resected esophagus.
Six month later, another tumor was found in the gallbladder by sonography, and extensive cholecystectomy was performed. Histological findings revealed adenosquamous cell carcinoma.
This case is calculated as the 53rd report of the esophageal cancer associated with achalasia in Japan. However, any case reports like this one of concurrent cancer with achalasia were not seen in the literature as far as we could examine.
