Mucosal esophageal squamous cell carcinoma with intramural gastric metastasis invading liver and pancreas: a case report.

[esophageal carcinoma]

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 .