A RESECTED CASE OF METASTASIS TO THE SMALL INTESTINE FROM ESOPHAGEAL BASALOID CELL CARCINOMA PRESENTED WITH SMALL BOWEL OBSTRUCTION

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  • 小腸再発巣切除をした食道類基底細胞癌の１例

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Abstract

A 72-year-old man visited our hospital because of swallowing difficulty. Endoscopic examinations of the upper gastrointestinal tract indicated esophageal carcinoma, and esophageal resection was carried out. The final diagnosis was basaloid carcinoma, pT1b (SM3), ly1, v1, pN0, sM0 and Stage I. Liver metastasis was found four months after the operation, and complete response to hepatic arterial infusion chemotherapy was achieved. Fifteen months after the operation, small bowel obstruction developed. An abdominal CT scan revealed a tumor at the lower abdomen and emergency laparotomy was performed. We confirmed a tumor in the jejunum about 40 cm distal from the Treitz ligament which had invaded the ascending colon. Thus partial resection of the ileum and right colectomy were done. The pathological diagnosis was metastasis of basaloid carcinoma of the esophagus. He developed metastases to the lung and bores and died 40 months after the operation for esophageal carcinoma. This case of metastasis to the small intestine from basaloid carcinoma of the esophagus is the first report in the international literature.

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