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KMID : 0914820140140010058
Journal of the Korean Gastric Cancer Association
2014 Volume.14 No. 1 p.58 ~ p.62
A Rare Case of Primary Squamous Cell Carcinoma of the Stomach and a Review of the 56 Cases Reported in Japan
Wakabayashi Hideyuki

Matsutani Takeshi Matsutani
Fujita Itsurou
Kanazawa Yoshikazu
Nomura Tsutomu
Hagiwara Nobutoshi
Hosone Masaru
Katayama Hironori
Uchida Eiji
Abstract
We report an extremely rare case of primary squamous cell carcinoma of the stomach. A 69-year-old man was admitted to our hospital with a 2-month history of dysphagia and tarry stools. Endoscopic examination revealed a cauliflower-shaped protruding mass along the lesser curvature of the gastric cardia. Biopsy of the lesion revealed squamous cell carcinoma of the stomach. Computed tomography revealed a thickened stomach wall and a mass protruding into the gastric lumen. Total gastrectomy with splenectomy, distal pancreatec-tomy, and Roux-en-Y reconstruction was performed, together with a lower thoracic esophagectomy via a left thoracotomy. Histopatho-logical examination of the specimen revealed well-differentiated squamous cell carcinoma of the stomach. Postoperative follow-up was uneventful for the first 18 months. However, multiple liver metastases and para-aortic lymph node metastasis developed subsequently. Despite systemic combination chemotherapy, the patient died because of progression of the recurrent tumors. Here, we review the char-acteristics of 56 cases of gastric squamous cell carcinoma reported in Japan.
KEYWORD
Gastric cancer, Squamous cell carcinoma
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