Metastasis of an esophageal carcinoma to a giant gastric ulcer.
In patients with esophageal carcinoma it is considered that stomach metastasis is induced mainly via the lymphatic route rather than via the bloodstream route that is common in other types of distant organ metastasis. A 56 year-old patient is reported who underwent synchronous subtotal esophagectomy and total gastrectomy for a middle third esophageal carcinoma and a giant peptic ulcer within the gastric fundus. The final histopathologic examination revealed a squamous cell carcinoma of the esophagus with concomitant squamous tumor implantation within the gastric ulcer. The increased cell proliferation in the ulcer margin can serve as a "biological background or base" for implantation.
Altorjay
A
A
Imre Haynal University of Health Sciences, Postgraduate Medical School, Department of Surgery, Budapest, Hungary.
Gonda
G
G
Ereifej
S
S
Szanto
I
I
Farsang
Z
Z
Kiss
J
J
D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D002455:Cell Division; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy; D005743:Gastrectomy; D005748:Gastric Fundus / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D013276:Stomach Ulcer / Q000473:pathology / Q000601:surgery*