A Case of Multiple Nodular Metastatic Esophageal Carcinoma from Stomach Cancer.
- Author:
Jong Ho MOON
;
Jin Kook KIM
;
Moon Sung LEE
;
Jin Hong KIM
;
Sung Won CHO
;
Chan Sup SHIM
- Publication Type:Original Article
- Keywords:
Metastatic esophageal carcinoma;
Submucosal spread
- MeSH:
Autopsy;
Biopsy;
Breast;
Cardia;
Constriction, Pathologic;
Deglutition Disorders;
Diagnosis;
Esophageal Neoplasms;
Esophagus;
Humans;
Incidence;
Larynx;
Lung;
Stomach Neoplasms*;
Stomach*;
Ulcer
- From:Korean Journal of Gastrointestinal Endoscopy
1992;12(1):25-28
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Metastatic cancer of the esophagus is unusual, Toreson discovered 19 in 599 autopsies on carcinoma patients, an incidence of 3.2%, Most of the patients had primary tumors of the lung, stomach, larynx or breast. Contiguous spread of tumor into the esophagus may produce an ulcerative lesioin resembling primary cancer of the esophagus, as examplified by the direct extension of tumor from the gastric cardia. These tumors may produce esophageal symptoms, notable dysphagia, and present no particular problem to the endoscopist because the ulcerative tumor in the lumen of the eaophagus makes diagnosis easy. Unusuually these tumor will extend into the esophagus submucosally producing submucosal nodules or cicatricial stricture of the esophagus without ulceration inito the lumen. This increases the diagnostic problems because of the difficulty of obtaining a endoscopic biopsy. We experienced a case of multiple nodular metastatic esophageal carcinoma, which was submucosally extended from the stomach cancer, confirmed by endoscopic biopsy. So we report this case with brief review of the previous litera- tures.
