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Case of early adenosquamous carcinoma of the stomach. 2013
Yasue Kimura, and
Hiroyuki Matsuda, and
Hiroshi Saeki, and
Eiji Oki, and
Masaru Morita, and
Keishi Sugimachi, and
Yo-ichi Yamashita, and
Toru Ikegami, and
Hideaki Uchiyama, and
Tomoharu Yoshizumi, and
Yuji Soejima, and
Hirofumi Kawanaka, and
Tetsuo Ikeda, and
Shinichi Tsutsui, and
Megumu Fujihara, and
Koshi Mimori, and
Masayuki Watanabe, and
Teruyoshi Ishida, and
Yoshihiko Maehara
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. yasuek@surg2.med.kyushu-u.ac.jp
Adenosquamous carcinoma of the stomach is very rare; at present, there are only seven published reports. We report here an eighth case involving a 77-year-old Japanese man who was diagnosed with gastric cancer by upper endoscopy and computed tomography (CT). He underwent laparoscopic-assisted distal gastrectomy for early gastric cancer and the resected specimen was diagnosed as adenosquamous carcinoma limited to the submucosal layer. Only one lymph node metastasis was noted. Seven months later, liver metastasis (3 tumors, 15 mm maximum in diameter) was detected by abdominal CT. He was started on chemotherapy with S-1 and cisplatin (CDDP) and is alive 14 months after surgery. Almost all cases of adenosquamous carcinoma of the stomach are diagnosed in advanced stages and carry a very poor prognosis. Most patients with early adenosquamous carcinoma of the stomach survive for 2 or more years without recurrence, however our patient experienced recurrence 7 months after surgery. Therefore, future treatment for recurrent adenosquamous carcinoma of the stomach should be considered.
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