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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
.
Diseases
Validation
Diseases presenting
"dysphagia"
symptom
alexander disease
cadasil
cushing syndrome
dedifferentiated liposarcoma
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
inclusion body myositis
kindler syndrome
liposarcoma
locked-in syndrome
neuralgic amyotrophy
oligodontia
triple a syndrome
well-differentiated liposarcoma
This symptom has already been validated