Korean J Gastrointest Endosc.  1994 Sep;14(3):349-356.

A Case of Esophageal Cancer Showing Intramural Metastasis to the Stomach in Complete Remission with Preoperative Chemoradiotherapy

• Yook EJ
• Im EH
• Sung JW
• Kim BH
• Lee HY
• Kim YK
• Kim SG
• Kim JH
• Jung HY

Abstract

Esophageal carcinoma is a rare malignant neoplasm consisting of about 1.5% of the whole gastrointestinal tract neoplasm and has poor prognosis of which survival rate is below 5%. The squamous cell carcinoma of the esophagus could be multicentric in character and may have occured in 9.5-27% of incidence. The most common site is head and neck region. The metastasis of esophageal carcinoma occur through hematogenous, lymphatic spread, direct invasion and rarely intramural metastasis. Of theses, intramural metastasis has been occured in 7-14.3% of incidence and its presence has been regared to poor prognostic factor due to early regional or distant metastasis. Surgery, chemotherapy, radiotherapy alone or combination of these has been used as treatment modalities of esophageal cancer, but combination chemoradiotherapy with or without operation is prefered method than other at present. Authors report a case of esophageal carcinoma showing intramural metastasis to the gastric wall, which had the complete remission with preoperative chemoradiotherapy.

Keyword

Intramural matastasis; Esophageal carcinoma; Complete remission; Combination chemoradiotherapy

MeSH Terms

Carcinoma, Squamous Cell
Chemoradiotherapy*
Drug Therapy
Esophageal Neoplasms*
Esophagus
Gastrointestinal Tract
Head
Incidence
Neck
Neoplasm Metastasis*
Prognosis
Radiotherapy
Stomach*
Survival Rate