Squamous cell carcinoma of the esophagus is largely associated with a poor prognosis, and the development and metastasis of this tumour are complicated. Direct invasion of adjacent organs such as the aorta, respiratory tract and lungs, and distant metastasis to other organs such as the liver, lungs and bone are commonly found in advanced esophageal cancer cases. Intramural metastasis (IMM) in the esophagus has been found in about 10% of esophageal cancer cases. However, IMM to the stomach (IMMS), excluding direct invasion and spread to the stomach, is relatively rare.
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