Abstract
The patient, a 61-year-old man, was diagnosed as having gastric cancer and underwent subtotal gastrectomy in 1979. In histopathological diagnosis, the tumor was a well differentiated tubular adenocarcinoma. An isolated shadow was found in the right and lower lung field during postoperative observation, and the patient was admitted to our hospital. After scrupulous examination, esophageal cancer was discovered by fluoroscopy of the upper digestive tract. Excision of the thoracic esophagus and the right and lower lung lobe was performed in August, 1983. With regard to esophageal reconstruction, interposition of the upper transverese colon in the ileocecum via the posterior sternum was performed. In histopathological diagnosis, the tumors were classified to be a well differentiated squamous cell carcinoma in the esophagus and a moderately differentiated papillary adenocarcinoma in the lung, and these were diagnosed as triple cancer according to the definition of Warren and Gates et al. The patient died of metastasis of the esophageal cancer to the liver in May, 1984.
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