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      Surgical Treatment of Synchronous Gastric and Esophageal Carcinoma: Case Report and Review of Literature

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          Abstract

          A 65-year-old man was admitted to our hospital because of advanced esophageal squamous cell carcinoma located on the left posterior wall of the lower thoracic esophagus and gastric adenocarcinoma in the antrum. Esophagectomy and distal gastrectomy with two-field lymph node dissection (mediastinum and abdomen) were performed via a left-sided abdominothoracic incision. The remnant gastric was pulled up successfully with the blood supply maintained by the left gastric vessel. He was discharged on the 13th postoperative day without any complications.

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          Synchronous gastric tumors associated with esophageal cancer: a retrospective study of twenty-four patients.

          N Koide, W Adachi, S Koike … (1998)
          Synchronous gastric tumors (including benign and secondary tumors) associated with esophageal cancer present diagnostic and therapeutic issues. We investigated this synchronous association, and retrospectively determined the frequency of the gastric tumors and the clinical characteristics. In a series of 208 patients with esophageal cancer, we investigated the synchronous gastric tumors, as well as the frequency of association, clinicopathological characteristics, diagnosis, treatment, and the clinical outcome after surgery. Twenty-eight gastric tumors were found in 24 patients. Adenocarcinoma was most frequent. Most of these tumors were located at the upper or middle third of the stomach. Eight gastric tumors in six patients could not be detected preoperatively. Six of these tumors including a gastric remnant cancer were detected in the resected stomach, and two leiomyomas were detected during the operation. In one patient in which an endoscope could not pass through the esophagus, a leiomyoma was detected in the resected stomach. For the gastric cancers, total gastrectomy or proximal gastrectomy with lymph node dissections was performed. For the benign tumors, partial resection of the stomach was performed, and endoscopic resection was performed preoperatively for an adenoma. In both the postoperative hospital mortality rate and the survival rate after surgery, there were no significant differences between the patients with and without gastric tumors. Synchronous gastric tumors associated with esophageal cancer are not rare. When an endoscope cannot pass through the esophagus before surgery, other techniques must be performed to explore the stomach. For these patients, surgical treatment should be adapted positively.
          Article 0 comments Cited 7 times – based on 0 reviews     Review now
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            Synchronous primary esophageal and gastric cancers.

            Marek Pasławski, Janusz Złomaniec, Eulalia Rucińska … (2004)
            The diagnosed multiple cancer cases have recently been increasing in number. The frequency of synchronous esophageal and gastric carcinomas is increasing due to development of more sophisticated invasive and non-invasive diagnostic tools and an increase in the number of elderly patients. Four cases of synchronous esophageal and gastric cancers were diagnosed in 2nd Department of Radiology, Medical University of Lublin and in Radiological Department of Hospital in Krosno between the 1996 and 2002. In all cases double-contrast barium examinations of upper gastrointestinal tract were performed. In all cases the two lesions were found, separated by normal mucous membrane. In two cases the irregular tumor masses were localized in the gastric cardia. In two patients coexistent lesions form the oval filling defect, with hazy appearance in the middle of the anterior esophageal wall. In three cases the results of contrast examinations were confirmed with CT. Endoscopy with taking the specimens for histopathological examination supplemented the radiological examination. The results of histopathological examinations confirmed the diagnosis. The possibility of multiple primary cancers should be kept in mind during the preoperative examination. In case of esophageal cancer with severe stricture, when endoscope cannot be passed through the esophagus, the stomach should be carefully examined in a barium meal study.
            Article 0 comments Cited 5 times – based on 0 reviews     Review now
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              Author and article information

              Journal
              Journal ID (nlm-ta): Thorac Cardiovasc Surg Rep
              Journal ID (iso-abbrev): Thorac Cardiovasc Surg Rep
              Journal ID (doi): 10.1055/s-00024355
              Title: The Thoracic and Cardiovascular Surgeon Reports
              Publisher: Georg Thieme Verlag KG (Stuttgart · New York )
              ISSN (Print): 2194-7635
              ISSN (Electronic): 2194-7643
              Publication date (Electronic): 29 August 2013
              Publication date (Print): December 2013
              Volume: 2
              Issue: 1
              Pages: 35-37
              Affiliations
              [1 ]Department of Thoracic Surgery, Renmin Hospital, Wuhan University, Wuhan, Hubei, China
              Author notes
              Address for correspondence Jie Huang, MD Department of Thoracic Surgery, Renmin Hospital, Wuhan University Wuhan, Hubei Province 430060China doctor_huangjie@ 123456126.com
              Article
              Publisher ID: 130026cr
              DOI: 10.1055/s-0033-1351357
              PMC ID: 4176075
              PubMed ID: 25360410
              SO-VID: 49fc4e56-c31a-489f-8daa-eaa23966ef58
              Copyright © © Thieme Medical Publishers
              History
              Date received : 30 April 2013
              Date accepted : 24 June 2013
              Categories
              Subject: Article

              Keywords: esophageal cancer,gastric cancer,synchronous,surgery
              Data availability:
              Keywords: esophageal cancer, gastric cancer, synchronous, surgery

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