PDF(Pubmed)
Abstract：
The incidence of gastric cancer associated with esophageal cancer is notably high. In recent years, there has been an increase in patients with gastric conduit cancers due to early detection and radical treatment of esophageal cancer, leading to prolonged survival of the patients. Metachronous gastric cancer following esophagectomy sometimes can pose a clinical challenge for surgeons, while gastric tube reconstruction is a well-established procedure accompanying esophagectomy, treating gastric cancer within the gastric tube can be difficult in contrast. Surgical treatment of gastric tube cancers is often complex and life-threatening. Early detection of gastric tube cancer is crucial for improving prognosis as it allows for less invasive surgical interventions. However, no specific guidelines for detecting gastric tube cancer have been established. In this report, we present a case of gastric tube cancer in a patient that had Ivor-Lewis surgery 20 years ago for preinvasive adenocarcinoma of the thoracic esophagus against the background of Barrett\'s esophagus. Recommendations for earlier and more accurate diagnosis and treatment of this pathology are discussed.
摘要：
与食管癌相关的胃癌的发病率非常高。近年来,由于食管癌的早期发现和根治性治疗，胃导管癌患者有所增加，延长患者的生存期。食管癌切除术后的异时性胃癌有时会给外科医生带来临床挑战。虽然胃管重建术是一种伴随食道切除术的成熟手术，相比之下，在胃管内治疗胃癌可能是困难的。胃管癌的手术治疗通常是复杂且危及生命的。早期发现胃管癌对于改善预后至关重要，因为它允许侵入性较小的手术干预。然而,尚未建立检测胃管癌的具体指南。在这份报告中,我们介绍了一例胃管癌患者，该患者在20年前接受了Ivor-Lewis手术，治疗前胸食管浸润性腺癌，背景为Barrett食管。讨论了对这种病理进行更早，更准确的诊断和治疗的建议。
