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From question on page 10.1136/gut.2006.119032
Histological analysis of the specimens obtained by endoscopic biopsy revealed squamous cell carcinoma.
To investigate the primary site of the squamous cell carcinoma, a second oesophagogastroduodenoscopy was performed. It revealed an oesophageal carcinoma measuring 50 mm in diameter in the middle oesophagus (fig 1). Biopsy specimens of the oesophageal lesion also revealed squamous cell carcinoma. Endoscopic ultrasonography showed invasion of the oesophageal carcinoma into the deep portion of the submucosa. The oesophageal and gastric lesions were distant from each other and were not continuous. Direct invasion of the metastatic lesions around the stomach to the stomach was ruled out by CT. The gastric lesion was therefore diagnosed as metastasis of the oesophageal carcinoma. Both oesophageal and gastric lesions (fig 2) responded partially to chemoradiotherapy. Although rare, the possibility of metastatic tumours to the stomach from oesophageal carcinoma sites should be considered.1
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