Japanese

Multiple Early Gastric Cancers Associated with Diffuse Submucosal Ectopic Glands, Report of a Case Hiroo Goto 1 , Ryozo Mochizuki 1 , Hidetaka Doi 1 , Kuniyasu Shimokawa 3 , Yoko Ikeda 3 1Department of Radiologu, Gifu University school of Medicine 3Department of Laboratory Medicine, Gifu University School of Medicine Keyword: びまん性粘膜下異所腺 , 多発早期胃癌 pp.581-592
Published Date 1993/5/25
DOI https://doi.org/10.11477/mf.1403106174
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 A 73-year-old man was admitted to our hospital for more detailed evaluation of the multifocal elevated lelions in the upper part of the gastric body which were detected by gastric screening indirect x-ray examination. Upper GI direct x-ray and endoscopic examinations revealed three eariy gastric cancers (a type Ⅱa+Ⅱc lesion on the anterior wall of the gastric body, a type Ⅱc lesion on the posterior wall of the gastric body, and a type Ⅱa+Ⅱc lesion on the greater curvature at the opposite side of the angle), two adenomas (on the anterior wall of prepyloric region, and on the lesser curvature in the antrum), and several small to medium sized submucosal tumors.

 Total gastrectomy was performed and histological examination showed diffuse submucosal ectopic glands producing submucosal tumors, and three early gastric cancers being detected preoperatively (a type Ⅱa+Ⅱc lesion, sm, tub2, anterior wall of the gastric body; a type Ⅱc lesion, sm, tub2, posterior wall of the gastric body; a type Ⅱa+Ⅱc lesion, sm, tub2, greater curvature at the opposite side of the angle). A lesion on the anterior wall of the prepyloric region being diagnosed as adenoma preoperatively was found to be a type Ⅱc early gastric cancer (m, tub1). The other lesion on the lesser curvature in the antrum being diagnosed as adenoma was confirmed histologically. In addition to these lesions, three small type Ⅱb lesions were found on the posterior wall of the gastric body. Special attention should be paid for multifocal cancers in the case of diffuse submucosal ectopic glands in the stomach.


Copyright © 1993, 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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