Early Gastric Cancer, Type Ⅱc＋Ⅱb

　A 41 year-old man was referred to our Center with no particular complaints nor was there any history of complaints in his family. X-ray revealed a shallow depression with areae gastricae of a coarse nature，accompanied by fold abruption from the greater curvature．Territory along the lesser curvature close to the oral site was very diffcult to discern．Hence we diagnosed it Ⅱc＋Ⅱb．Forwardviewing panendoscopy revealed grainy coarse areae with discoloration marking the depression．Some part of the lesion was extremely difllcult to discern，but we presumed the spread of cancer to be a wider area and therefore concluded the lesion to be Ⅱc＋Ⅱb endoscopically.

　The resected specimen revealed the spread of cancer shown up by x-ray．A small portion of the lesion interpreted as Ⅱb by x-ray was demonstrated on the resected specimen.