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Early Cancer of the Type IIa Developed in the Remnant Stomach S. Ito 1,2 , T. Murakami 1,2 , M. Tanaka 3 , S. Kishi 4 , G. Akagi 5 1Internal Medicine of the Zentsuzi National Hospital 3Surgery of the Zentsuzi National Hospital 4Second Department of Internal Medicine, School of Medicine, Tokushima Univetsity 5Second Department of the Pathology, School of Medicine, Tokushima University pp.449-453
Published Date 1976/4/25
DOI https://doi.org/10.11477/mf.1403107142
  • Abstract
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 Cancer developing in the gastric remnant several years after partial gastric resection due to benign lesions is called cancer of remnant stomach.

 In our country reports of such cases have been few; according to Yamashita 106 cases were reported up to 1971. Most of them belonged to advanced cancer. Early cancer of the gastric remnant is thus very limited. We report here such a case, a tiny cancer of the stomach developing in the gastric stump, with reference to the literature.

 A 70-year-old farmer came to our hospital complaing of abdominal distention he noticed 27 years after gastric resection performed on account of ulcer. X-ray revealed no abnormality in the stomach, while. endpscopy showed a hemispheric small protrusion subsequently diagnosed by biopsy as tubular adenocarcinoma. Histologic study of the resected specimen revealed IIa type early cancer, well differentiated tubular adenocarcinoma with slight atypicality, extending over the superficial layer of the tip of a polypoid lesion, which measured 5×5 mm.

 Up to the present, cases of early cancer seen in the gastric remnant amount to only 5 in number. Roentogenology is often inefficient in its diagnosis because of unusual configuration of the gastric stump. Small lesions are apt to be overlooked. Early cancer of the stomach is now detected with ease owing to the development of both X-ray techniques and endoscopic diagnosis. However, once the stomach is resected for one reason or another, detection of early cancer faces great difficulty. One should be very careful in the examinations of the gastric remnant in daily practice.


Copyright © 1976, 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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