A Rare Case of Primary Squamous Cell Carcinoma of the Stomach and a Review of the 56 Cases Reported in Japan
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(Wakabayashi Hideyuki) - Nippon Medical School Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery
(Matsutani Takeshi Matsutani) - Nippon Medical School Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery
(Fujita Itsurou) - Nippon Medical School Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery
(Kanazawa Yoshikazu) - Nippon Medical School Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery
(Nomura Tsutomu) - Nippon Medical School Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery
(Hagiwara Nobutoshi) - Nippon Medical School Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery
(Hosone Masaru) - Nippon Medical School Tama-Nagayama Hospital Department of Pathology
(Katayama Hironori) - Nippon Medical School Tama-Nagayama Hospital Department of Pathology
(Uchida Eiji) - Nippon Medical School Tama-Nagayama Hospital Department of Pathology
Abstract
We report an extremely rare case of primary squamous cell carcinoma of the stomach. A 69-year-old man was admitted to our hospital with a 2-month history of dysphagia and tarry stools. Endoscopic examination revealed a cauliflower-shaped protruding mass along the lesser curvature of the gastric cardia. Biopsy of the lesion revealed squamous cell carcinoma of the stomach. Computed tomography revealed a thickened stomach wall and a mass protruding into the gastric lumen. Total gastrectomy with splenectomy, distal pancreatec-tomy, and Roux-en-Y reconstruction was performed, together with a lower thoracic esophagectomy via a left thoracotomy. Histopatho-logical examination of the specimen revealed well-differentiated squamous cell carcinoma of the stomach. Postoperative follow-up was uneventful for the first 18 months. However, multiple liver metastases and para-aortic lymph node metastasis developed subsequently. Despite systemic combination chemotherapy, the patient died because of progression of the recurrent tumors. Here, we review the char-acteristics of 56 cases of gastric squamous cell carcinoma reported in Japan.
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Gastric cancer, Squamous cell carcinoma
KMID :
0914820140140010058
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