TWO CASES OF SYNCHRONOUS DOUBLE SUPERFICIAL CANCER OF THE ESOPHAGUS AND STOMACH WHICH WERE RECONSTRUCTED DIFFERENTLY BASED ON ENDOSCOPIC DIAGNOSIS OF THE STOMACH LESION

DOI Web Site 12 References

Bibliographic Information

Other Title
  • 胃病変の内視鏡診断により異なる再建術式を選択した同時性食道・胃表在型重複癌の2例

Search this article

Abstract

We have recently encountered two cases of synchronous double superficial cancer of the esophagus and stomach. Patient 1 was a 65-year-old man, who had synchronous double cancer of the esophagus (Im, sm, ly1, v1, n2) and stomach (in the lower portion of the gastric body, sm, ly1, v1, n0). Subtotal esophagectomy, total gastrectomy, splenectomy, cholecystectomy, and lymph nodes dissection were performed, in which reconstruction was made by using the right hemicolon. Patient 2 was a 56-year-old man, who had early esophageal cancer (Iu-Ei, 15cm in total length, sm, ly1, v1, n0) and multiple cancer of the gastric mucosa (m, ly0, v0, n0) simultaneously. Subtotal esophagectomy, lymph nodes dissection, resection of the gastric mucosa were performed, in which reconstruction was made by using gastric tube. For treatment of simultaneous cancer of the esophagus and stomach, especially the superficial type, making an appropriate choice of either endoscopic or surgical therapy is important in terms of both the invasiveness and radicality. We selected surgery for treatment of the superficial double cancers, and used different organs for reconstruction, namely the right hemicolon in the patient 1 and gastric tube in the patient 2, because the lymph node dissection depends on the degree of invasion and location of the gastric cancer. In this report, we discussed the surgical approach to the superficial double cancers, with special reference to the importance of the preoperative assessment.

Journal

References(12)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top