After Operative Synchronous Double Cancer of the Esophagus and Stomach, Metachronous Buccal Cancer and Multiple Cancers of the Residual Esophagus, Report of a Case Taito Aoki 1 , Masaya Uesato 1 , Shin-ichi Miyazaki 1 , Takenori Ochiai 1 1Department of Academic Surgery, Chiba University Graduate School of Medicine Keyword: 多発食道癌 , 重複癌 , 内視鏡的粘膜切除術 , 頭頸部癌 pp.369-373
Published Date 2003/3/25
DOI https://doi.org/10.11477/mf.1403100887
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 The patient was a 66-year-old male addicted to heavy smoking and drinking. We detected synchronous double cancer of the esophagus and stomach, so we performed lower esophagectomy and total gastrectomy. Two years after this operation, an early cancer of the buccal mucosa was detected and was operated on. In addition, we detected superficial cancer of the residual esophagus and performed endoscopic mucosal resection. Since this episode, multiple and metachronous superficial cancer of the residual esophagus has been detected three times. We performed endoscopic mucosal resection for these lesions. He probably had some risk factor of multiple and metachronous cancers. This case shows the importance of periodic endoscopic follow-up for patients with head and neck cancers. Early detection of multiple and metachronous cancers enables patients to be cured with minimal invasive therapy.

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