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A Case of Early Gastric Cancer Associated with Esophageal Carcinoma: especially on statistical observations of double carcinomas in the esophagus and stomach T. Yamashita 1 , M. Takeno 1 , M. Takashina 1 , S. Ito 1 , T. Fujita 1 11st. Dept. of Surgery, Kobe University School of Medicine pp.1533-1541
Published Date 1971/11/25
DOI https://doi.org/10.11477/mf.1403111442
  • Abstract
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 A pessimistic view is apt to be held regarding the surgical correction of multiple cancers stretching over to two organs, chiefly because it is diflicult to detect them concomitantly. This is especially true in the case of mutiple cancers in the esophagus and stomach owing to their rare occurrence. In addition, since these organs are contiguous, two cancers on the respective organs are seldom found simultaneously before the radical operation, partly because attention is not paid equally to both organs, the more so when esophageal cancer is suspicious. Consequently, radical simultaneous removal of two cancers in both organs has been done only in a few cases in this country.

 Recently we have come across primary multiple carcinomas in these organs in a 75-year-old man. The cancer in the stomach was an early one, type Ⅱa+Ⅱc, with m degree of depth invasion, confirmed as such before the surgical exploration. The patient is in good health one year after the radical surgery.

 This experience has also induced us to investigate statistically all multiple cancers of the esophagus and stomach that have been reported in Japan. So far, 49 such cases have been collected from the literature. Together with the present one, we have studied 50 cases in detail including their predilection age bracket, difference in sex, chief complaints, duration of distress, preoperative diagnoses, locations, modes of surgical operation, histopathological findings and prognosis.


Copyright © 1971, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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