title: Squamous esophageal carcinoma and mucinous adenocarcinoma of the colon - an unusual association.
abstract: The existence of a simultaneous cancer of the esophagus and colon is a rare situation that recognizes an increased incidence in recent years in the world, probably as a result of the improved measures of diagnosis and treatment, as well as the development of screening programs. The aim of this work is to present a case of synchronous esophageal squamous carcinoma with mucinous adenocarcinoma of the hepatic angle of the colon. The patient was hospitalized to our Surgical Clinic with the thoracic squamous esophageal carcinoma diagnosis. On admission, symptoms were dominated by overall dysphagia, patient showing a weight loss of 10 kg for the last 30 days. Preoperative imaging tests did not revealed regional or distant metastatic disease. Preoperative colonoscopy was incomplete (only until the splenic angle of the left colon) due to the insufficient mechanical preparation. On laparotomy, a carcinoma of the hepatic angle of the colon, partially stenosing was discovered. An upper pole esogastrectomy with intrathoracic esogastrostomy and a right colectomy with ileotransversostomy were practiced, at the same operative session. Postoperative evolution was poor and the patient died on the ninth day from the surgery during an alcohol withdrawal crisis.
authors.affiliation: Department of Surgery, University of Medicine and Pharmacy of Craiova, Emergency County Hospital of Craiova, Romania; id.vilcea@yahoo.com.
authors.forename: Cecil Sorin
authors.initials: CS
authors.lastname: Mirea
authors.forename: Manuela Ioana
authors.initials: MI
authors.lastname: Vasile
authors.forename: Ionică Daniel
authors.initials: ID
authors.lastname: Vîlcea
authors.forename: Ion
authors.initials: I
authors.lastname: Vasile
authors.forename: Emil
authors.initials: E
authors.lastname: Moraru
authors.forename: Mihai Călin
authors.initials: MC
authors.lastname: Ciorbagiu
authors.forename: Maria Cristina
authors.initials: MC
authors.lastname: Sfeclan
authors.forename: Cătălina
authors.initials: C
authors.lastname: Marin
authors.forename: Vasile Cosmin
authors.initials: VC
authors.lastname: Obleagă
authors.forename: Ioana Andreea
authors.initials: IA
authors.lastname: Gheonea
authors.forename: Alina Maria
authors.initials: AM
authors.lastname: Vîlcea
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000473:pathology*; D002294:Carcinoma, Squamous Cell / Q000473:pathology*; D002454:Cell Differentiation; D003106:Colon / Q000473:pathology*; D004938:Esophageal Neoplasms / Q000473:pathology*; D000077277:Esophageal Squamous Cell Carcinoma; D006801:Humans; D008297:Male; D008875:Middle Aged