Multiple Early Gastric Cancers, Type Ⅱa and Type Ⅱc of the Stoma in the Gastric Remnant, Report of a Case Tsutomu Hamada 1 , Kenji Kondo 1 , Yukie ltuguki 1 , Shigehiro Kitamura 2 , Fuminari Kaji 3 1Department of Internal Medecine, The Social Health Insurance Medical Center 2Department of Pathology, The Social Health Insurance Medical Center 3Department of Internal Medicine, Juntendo University School of Medicine Keyword: 吻合部癌 , 早期胃癌 pp.1078-1082
Published Date 1994/9/25
DOI https://doi.org/10.11477/mf.1403105918
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 A 65-year-old man was admitted to our hospital complaining of loss of appetite in January 1981. In 1949, he had partial gastric resection with side to end anastomosis (Billroth Ⅱ) for gastric ulcer. X-ray and endoscopic examination revealed two polypoid lesions and a depressed lesion in the area of the anastomosis. On the resected specimen, the two polypoid lesions proved to be Ⅱa type of early carcinomas, well differentiated adenocarcinoma with the size of 30mm×15mm and 15mmX15mm respectively, and the depressed lesion was a Ⅱc type of early cancer, mucocellular adenocarcinoma 30mm×15mm in size. These stomal carcinomas limited to the mucosa coexisted with stomal gastritis. In the area of stomal gastritis around the cancers, hyperplastic foveolar epithelium, cystic dilatation of mucosal and submucosal glands and slight atrophy of the gastric glands were noted without intestinal metaplasia.

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