Esophageal mucosal metastasis from adenocarcinoma of the distal stomach

Title
Esophageal mucosal metastasis from adenocarcinoma of the distal stomach
Authors
신용운
Keywords
Stomach cancer; Neoplasm metastasis; Esophagus
Issue Date
2013
Publisher
WORLD JOURNAL OF GASTROENTEROLOGY
Series/Report no.
WORLD JOURNAL OF GASTROENTEROLOGY ; Vol.19 no.23 Startpage 3699 Endpage 3702
Abstract
Dissemination of gastric cancer may usually occur by direct spread through the perigastric tissues to adjacent organ, lymphatic spread, and hematogenous spread. We report a rare case of gastric cancer with mucosal metastastic lesion on the upper esophagus that was diagnosed by endoscopy and endosonography. A biopsy of the esophageal mass was performed and the pathologic findings with immunohistochemical stain for Mucin-5AC are proved to be identical to that of gastric adenocarcinoma, suggesting metastasis from main lesion of the gastric cancer. The lesion could not be explained by lymphatic or hematogenous spread, and its metastasis mechanism is considered to be different from previous studies. We suggest that the gastroesophageal reflux of cancer cells could be one of the possible metastatic pathways for metastasis of esophagus from an adenocarcinoma of the stomach.
URI
http://dspace.inha.ac.kr/handle/10505/31377
ISSN
1007-9327
Appears in Collections:
Medical School/College of Medicine (의학전문대학원/의과대학) > Medical Science (의학) > Journal Papers, Reports(의학 논문, 보고서)

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