Cronkhite-Canada syndrome associated with esophageal and gastric cancers: report of a case

Surg Today. 2015 Jun;45(6):777-82. doi: 10.1007/s00595-014-0977-2. Epub 2014 Jul 10.

Abstract

Cronkhite-Canada Syndrome (CCS) is a rare non-inherited gastrointestinal polyposis syndrome with characteristic ectodermal changes. We report an extremely unusual case of CCS associated with primary esophageal and gastric cancers. A 74-year-old Japanese man with symptoms of anorexia and diarrhea was found to have primary esophageal and gastric cancers, as well as multiple gastric and colonic polyps. Based on the physical findings of onychodystrophy and alopecia, we diagnosed CCS. Because of his age and nutritional status, we decided to perform total gastrectomy for gastric cancer and chemoradiotherapy for esophageal cancer, upon completion of which the patient was started on steroid therapy for the CCS. After 1 week of steroid therapy, the patient's watery diarrhea improved. We recommend that for patients with CCS, the therapeutic strategy be carefully considered based on the patient's nutritional status, the severity of the CCS, and the extent of gastrointestinal cancer.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adenocarcinoma / complications*
  • Adenocarcinoma / pathology
  • Adenocarcinoma / surgery*
  • Aged
  • Carcinoma, Squamous Cell / complications*
  • Carcinoma, Squamous Cell / pathology
  • Carcinoma, Squamous Cell / therapy*
  • Chemoradiotherapy
  • Endoscopy, Gastrointestinal
  • Esophageal Neoplasms / complications*
  • Esophageal Neoplasms / pathology
  • Esophageal Neoplasms / therapy*
  • Gastrectomy
  • Glucocorticoids / administration & dosage
  • Humans
  • Intestinal Polyposis / complications*
  • Intestinal Polyposis / drug therapy*
  • Male
  • Neoplasms, Multiple Primary*
  • Nutritional Status
  • Prednisolone / administration & dosage
  • Severity of Illness Index
  • Stomach Neoplasms / complications*
  • Stomach Neoplasms / pathology
  • Stomach Neoplasms / surgery*

Substances

  • Glucocorticoids
  • Prednisolone