title: Mucosal esophageal squamous cell carcinoma with intramural gastric metastasis invading liver and pancreas: a case report.
abstract: A 59-year-old Japanese man was admitted to our hospital because of a 1-month history of dysphagia. Endoscopic examination revealed a superficial esophageal squamous cell carcinoma and a giant gastric tumor. Computed tomography showed that the gastric tumor was directly invading the liver and pancreas. Because of the risk of the gastric tumor causing obstruction and bleeding, we performed a subtotal esophagectomy, proximal gastrectomy, left lateral segmentectomy of liver, and pancreatosplenectomy with gastric tube reconstruction. Final pathological findings were superficial esophageal carcinoma penetrating the muscularis mucosae with an intramural gastric metastasis directly invading the liver and pancreas. The patient received postoperative adjuvant chemotherapy, yet died 8 months postoperatively of complications of local recurrence. Early-stage esophageal carcinoma with intramural gastric metastasis is very rare. To our knowledge, this is the first case of mucosal esophageal carcinoma with intramural gastric metastasis directly invading other organs.
authors: 1 Department of Surgery, Social Insurance Gunma Chuo General Hospital, Gunma, Japan.
authors: Nobuhiro
authors: N
authors: Nakazawa
authors: Minoru
authors: M
authors: Fukuchi
authors: Shinji
authors: S
authors: Sakurai
authors: Hiroshi
authors: H
authors: Naitoh
authors: Shinsuke
authors: S
authors: Kiriyama
authors: Takaharu
authors: T
authors: Fukasawa
authors: Yuichi
authors: Y
authors: Tabe
authors: Hayato
authors: H
authors: Yamauchi
authors: Masaki
authors: M
authors: Suzuki
authors: Tomonori
authors: T
authors: Yoshida
authors: Hiroyuki
authors: H
authors: Kuwano
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal; D004938:Esophageal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D016629:Esophagectomy; D017809:Fatal Outcome; D005743:Gastrectomy; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D013156:Splenectomy; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery*; D014057:Tomography, X-Ray Computed
keywords: Direct invasion; Intramural gastric metastasis; Mucosal esophageal carcinoma