Kardia adenokarcinóma implantációs metasztázisa a nyelócsóben.

Translated title of the contribution: Esophageal implantation metastasis from adenocarcinoma of the cardia

I. Szántó, A. Vörös, G. Gonda, P. Nagy, E. Cserepes, E. M. Gamal, J. Kiss

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

A 74 years old male patient was admitted to our department suffering from dysphagia for five months. Gastric Barium studies showed a cardia tumour with polypoid lesions in the wall of the esophagus, and gastro-esophageal reflux disease was also diagnosed. Endoscopy verified a cardia tumour with esophageal metastasis, and biopsy was obtained from the two lesions. Histology showed that both tumours were adenocarcinomas. Endoscopic ultrasonography classified the cardia tumour as grade T2. As observed during endoscopy, the wall of the esophagus at the level of the polypoid lesion was hypo-echogenic and thick which was result of thickened mucosa. Total gastrectomy and oesophagectomy was performed. Pathology showed that the cardia tumour was pT2N2 and type Siewert-Stein II. The esophageal polypoid lesion was also proved an adenocarcinoma, which was localized only to the mucosa. No tumour cells were found in the blood- or in lymph vessels between the tumour and the esophageal adenocarcinoma. We think that the polypoid adenocarcinoma in the esophagus is an esophageal metastasis implantation from the cardia adenocarcinoma. It is based on the exclusion of other possible tumour dissemination routes. Probably the gastro-esophageal reflux is responsible for the implantation of tumour cells.

Original languageHungarian
Pages (from-to)393-396
Number of pages4
JournalMagyar sebészet
Volume54
Issue number6
Publication statusPublished - 2001

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Cardia
Adenocarcinoma
Neoplasm Metastasis
Neoplasms
Gastroesophageal Reflux
Esophagus
Endoscopy
Mucous Membrane
Esophageal Diseases
Endosonography
Esophagectomy
Lymph
Barium
Gastrectomy
Deglutition Disorders
Stomach
Histology
Pathology
Biopsy

Cite this

Szántó, I., Vörös, A., Gonda, G., Nagy, P., Cserepes, E., Gamal, E. M., & Kiss, J. (2001). Kardia adenokarcinóma implantációs metasztázisa a nyelócsóben. Magyar sebészet, 54(6), 393-396.

Kardia adenokarcinóma implantációs metasztázisa a nyelócsóben. / Szántó, I.; Vörös, A.; Gonda, G.; Nagy, P.; Cserepes, E.; Gamal, E. M.; Kiss, J.

In: Magyar sebészet, Vol. 54, No. 6, 2001, p. 393-396.

Research output: Contribution to journalArticle

Szántó, I, Vörös, A, Gonda, G, Nagy, P, Cserepes, E, Gamal, EM & Kiss, J 2001, 'Kardia adenokarcinóma implantációs metasztázisa a nyelócsóben.', Magyar sebészet, vol. 54, no. 6, pp. 393-396.
Szántó I, Vörös A, Gonda G, Nagy P, Cserepes E, Gamal EM et al. Kardia adenokarcinóma implantációs metasztázisa a nyelócsóben. Magyar sebészet. 2001;54(6):393-396.
Szántó, I. ; Vörös, A. ; Gonda, G. ; Nagy, P. ; Cserepes, E. ; Gamal, E. M. ; Kiss, J. / Kardia adenokarcinóma implantációs metasztázisa a nyelócsóben. In: Magyar sebészet. 2001 ; Vol. 54, No. 6. pp. 393-396.
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