胃癌を合併した膵腺扁平上皮癌の1切除例

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  • A CASE OF SURGICAL RESECTION FOR DOUBLE CANCER WITH ADENOSQUAMOUS CARCINOMA OF THE PANCREAS AND GASTRIC CANCER

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A 66-year-old man visited another hospital because of upper abdominal discomfort. Gastroduodenal fiberscopy revealed gastric cancer, so he was admitted to our hospital for surgical treatment. Gastroduodenal fiberscope revealed the type IV tumor, and a diagnosis of signet-ring cell carcinoma was made by subsequent biopsy. Abdominal CT and ultrasonography revealed a tumor in the body and tail of the pancreas. MRCP showed only a stone in the common bile duct, but 3D-CT angiography detected disruption of the splenic artery and vein. From these findings, a diagnosis of double cancer with carcinoma of the pancreas tail and gastric cancer was made, and total gastrectomy with combined resection of pancreas tail and spleen, and choledocotomy was performed. Pathologic examination showed that the pancreatic tumor was adenosquamous carcinoma. The frequency of double cancer with gastric cancer is considered to be higher than that of other malignant disease, but double cancer with pancreatic cancer and gastric cancer is rare. To the best of our knowledge, this is the first report of a double cancer with adenosquamous carcinoma of the pancreas and gastric cancer. We present this extremely rare case with a review of the literature.

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