SYNCHRONOUS ESOPHAGEAL SQUAMOUS CELL CARCINOMA AND GASTRIC ADENOCARCINOMA Carcinoma epidermóide de esôfago e adenocarcinoma gástrico sincrônicos

stenosis, more than 10 cm of the esophagogastric junction. The biopsy diagnosed esophageal squamous carcinoma and gastric adenocarcinoma. CT of chest, abdomen and pelvis dismissed pleural effusion or chest lymphnodes. Showed concentric thickening of the lower third of the esophagus, in gastroesophageal junction, antrum and lymph node along the lesser gastric curvature . Liver was normal in size and contour, without signs of focal lesions . The patient underwent transhiatal esophagogastrectomy full lymphadenectomy and reconstruction with left colon and jejunostomy. Histopathology confirmed the presence of esophageal squamous cell carcinoma around 7.5 x 6.5 cm to 4.5 cm proximal margin of gastric adenocarcinoma and Borrmman III 4.0 x 2.5 cm to 2.0 cm distal margin (Figure 1). Were isolated to total 60 lymph nodes, two of which were positive for squamous cell carcinoma (one in right cardic group and one in left ) and two were positive for adenocarcinoma in the small curvature. The pathological classification for esophageal tumor was pT3pN1 and the gastric tumor pT4apN1a .