Abstract
We report a resected case of adenosquamous carcinoma of the esophagus. A 60-year-old male was admitted to our hospital because of dysphagia. Roentgenogram and esophagoscopy revealed tumor and area of stenosis of the entire circumference in the middle of the intra-thoracic esophagus. The lesion was surrounded by an area which stained negative with iodine. The biopsy specimen showed squamous cell carcinoma. After subtotal esophagectomy and fundectomy with R3 lymph node dissection, esophagogas-trostomy was performed via the posterior sternum route. The intraoperative gross stage was Stage III A2N1Pl0M0, and curability was CIII. Histological examination of the resected specimen showed adenos-quamous carcinoma, and tumor invasion into adventitia (a2) with 101 lymph node metastasis. Bilateral recurrent laryngeal nerve paralysis and brain metastasis occurred during the postoperative course, and the patient died seven months after surgery.
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