Case Report: A rare case of esophageal squamous cell carcinoma with metastases to the pancreas and stomach

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Esophageal squamous cell carcinoma (ESCC) is a highly aggressive cancer with a poor prognosis and common distant metastases.
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Metastasis of ESCC to the pancreas and stomach is extremely rare, with pancreatic metastases accounting for less than 2% of pancreatic neoplasms.
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A 62-year-old male developed pancreatic and gastric metastases 37 months after radiotherapy for ESCC, highlighting the need for differential diagnosis.
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The patient underwent radical surgical resection followed by immunochemotherapy, suggesting a viable treatment strategy for atypical metastatic presentations.
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This case emphasizes the importance of considering rare metastases in patients with a history of ESCC, even after a prolonged disease-free interval.

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