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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
.