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Japanese

Gastric Cancer Associated with Ulcerative Colitis in a Young Boy, Report of a Case Toshiaki Sano 1 , Toshiya Okahisa 2 , Seiji Kiyokawa 3 , Koichi Kataoka 4 , Masanori Takahashi 5 1The First Department of Pathology, School of Medicine, The University of Tokushima 2The Second Department of Internal Medicine, School of Medicine, The University of Tokushima 3Department of Pediatrics, School of Medicine, The University of Tokushima 4Division of Internal Medicine, Tokushima Central Prefectural Hospital 5Division of Pathology, Tokushima Central Prefectural Hospital Keyword: 潰瘍性大腸炎 , 胃癌 , 異型腺管 , 多発 , colitic cancer pp.580-584
Published Date 2001/3/25
DOI https://doi.org/10.11477/mf.1403103196
  • Abstract
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 The patient was a 14-year-old boy who had undergone total colectomy because of therapy-resistant ulcerative colitis at the age of 13. Gastric endoscopy performed 3 months after hospitalization revealed multiple ulcers mainly in the fundic and pyloric areas and a polypoid lesion measuring 1 cm in the greater cuvature. Histologically, it was shown that the gastric mucosa was occupied by a diffuse and massive infiltration of inflammatory cells such as neutrophils and plasma cells. Atypical glands difficult to determine as either regenerative or as neoplastic were noted diffusely and the polypoid mass was diagnosed as carcinoma. EMR specimens showed an intramucosal, moderately differentiated tubular adenocarcinoma with numerous inflammatory infiltrates. After 7 months of hospitalization, a new flat elevation 2 cm in size was found in the antrum. This lesion enlarged to a 3~4 cm granular flat lesion after 10 months of hospitalization and was resected endoscopically. Histologically the lesion was the same as the first polypoid cancer.

 Histological findings of the gastric lesions in this case were consistent with those found in ulcerative colitis and colitic cancer. Gastric involvement of ulcerative colitis has been thought to be extremely rare and multiple gastric carcinomas similar to colitic cancer has never been reported until now.


Copyright © 2001, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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