Ewha Med J.  2012 Sep;35(2):110-113. 10.12771/emj.2012.35.2.110.

A Case of Double Primary Cancers in the Esophagus and Stomach

• Yun HW
• Shim KN
• Na SK
• Song DK
• Chung JW
• Jung KY

• KMID: 2284001
• DOI: http://doi.org/10.12771/emj.2012.35.2.110

Abstract

Double primary cancers are two independently developed cancers in an individual. There have been some reports on double primary cancer since Billroth reported it for the first time in 1879. Double primary cancer of the stomach and esophagus has been revealed a very low incidence worldwide. The incidence of an esophageal cancer with another primary cancer is reported to be 9.5~27%, but double primary cancers in the esophagus and stomach have been rarely reported to our knowledge. In this study, we present here a case of double primary esophageal and stomach cancer in a 66-year-old man because of progressive dysphagia.

Keyword

Esophageal neoplasms; Multiple primary; Stomach neoplasms

MeSH Terms

Deglutition Disorders
Esophageal Neoplasms
Esophagus
Incidence
Stomach
Stomach Neoplasms

Figure

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  Fig. 1 Endoscopic findings. (A) There is a fungating mass at mid-esophagus at 30~35 cm from the incisor. (B) A flat elevated lesion with central depression of lesser curvature from the angle to the high body is noted.

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  Fig. 2 Chest computed tomography findings. The circumferential wall thickening is noted at esophagus, about 3 cm in length, below the carina.

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  Fig. 3 Pathologic findings. (A) Esophageal lesion shows invasive squamous cell carcinoma, moderately to poorly differentiated (H&E, ×400). (B) Gastric lesion shows tubular adednocarcinoma, poorly differentiated, and invaded submucosa (H&E, ×400).

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