Abstract
Adenosquamous carcinoma of the stomach is a very rare disease, consisting of less than 0.4 % of all stomach cancer. From 1991 to 2013, a total of 2800 patients received gastrectomy for gastric cancer at Taipei Veterans General hospital. Among them, seven patients (0.25 %) diagnosed as adenosquamous carcinoma were enrolled. The clinicopathologic characteristics and prognosis were analyzed. The mean age of the seven patients was 62.3 years-old. There were 5 males and 2 females. Six patients were stage III disease and one patient was stage IV disease. Four patients finally died of gastric cancer. Only one patient had no recurrence until death. Among the seven patients, adenocarcinoma component comprises the majority of the metastatic lymph node in 6 patients (85.7 %). The only one patient with major squamous cell carcinoma component in metastatic lymph node had no tumor recurrence till death. Adenosquamous carcinoma of stomach is a rare disease and is associated with a poor prognosis. The component of adenocarcinoma and squamous cell carcinoma in the metastatic lymph node may influence the prognosis.
Similar content being viewed by others
References
Mori E, Watanabe A, Maekawa S et al (2000) Adenosquamous carcinoma of the remnant stomach: report of a case. Surg Today 30:643–646
Toyota N, Minagi S, Takeuchi T et al (1996) Adenosquamous carcinoma of the stomach associated with separate early gastric cancer (type IIc). J Gastroenterol 31:105–108
Tohma T, Yamamoto Y, Seki Y et al (2009) Weekly paclitaxel therapy is effective for gastric adenosquamous carcinoma: a case report. Hepatogastroenterology 56:568–570
Samejima Y, Mizuno T, Sasakawa M et al (1974) A case report of early gastric adenoacanthoma and brief review of its literature. I To Cho 9:783–788 (in Japanese)
Watanabe Y, Nakamura N, Iwasaki N et al (1976) Early gastric adenoacanthoma of superficial spreading type diagnosed by gastroscopy, reported of a case. I To Cho 11:347–352 (in Japanese)
Hirai S, Koyama S, Ebihara T et al (1986) Two cases of the gastric adenosquamous cell carcinoma diagnosed by gastroscopic biopsy. Shokaki Naishikyo 28:3139–3145 (in Japanese)
Horikawa M, Miyashiro N, Nakatani M et al (1987) A case of early gastric adenosquamous carcinoma. Gan No Rinsho 33:305–310 (in Japanese)
Johzaki H, Murayama H, Maekawa T et al (1988) A case of small squamous cell carcinoma with a grading of Ila + IIc, an early gastric cancer type. Gan No Rinsho 34:1025–1030 (in Japanese)
Yasuda K, Daibo M, Urabe M et al (1991) A case of early gastric adenosquamous carcinoma. Shokaki Naishikyo No Shinpo 38:335–338 (in Japanese)
Nishidoi H, Ishiguro M, Kudoh H et al (1993) A case of early gastric adenosquamous carcinoma (type lie). Nippon Rinsho Geka Igakkai Zasshi 54:430 (in Japanese)
Yoshida K, Manabe T, Tsunoda T et al (1996) Early gastric cancer of adenosquamous carcinoma type: report of a case and review of literature. Jpn J Clin Oncol 26:252–257
Faria GR, Eloy C, Preto JR et al (2010) Primary gastric adenosquamous carcinoma in a Caucasian woman: a case report. J Med Case Rep 4:351–5
Saito S, Hosoya Y, Morishima K et al (2012) A clinicopathological and immunohistochemical study of gastric cancer with squamous cell carcinoma components: a clinically aggressive tumor. J Dig Dis 13:407–413
Sobin L, Gospodarowicz M, Wittekind C (eds) (2009) TNM classification of malignant tumours (UICC International Union Against Cancer), 7th edn. New York, Wiley-Blackwell
Acknowledgment
This research was supported by a grant from the Division of Experimental Surgery of the Department of Surgery and Taipei Veterans General Hospital (V103C-135).
Conflict of Interest
All authors have no conflicts of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Chen, YY., Li, A.FY., Huang, KH. et al. Adenosquamous Carcinoma of the Stomach and Review of the Literature. Pathol. Oncol. Res. 21, 547–551 (2015). https://doi.org/10.1007/s12253-014-9890-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12253-014-9890-7