早期癌が疑われた胃reactive lymphoreticular hyperplasiaの1例

Reactive Lymphoreticular Hyperplasia Suspected of Early Gastric Cancer, Report of a Case

　われわれは胃集検にて粘膜異常をチェックされ，胃X線検査，胃内視鏡検査では早期癌Ⅱc＋Ⅲを疑われ，胃生検ではreactive lymphoreticular hyperplasia（RLH）を強く疑われて切除された胃RLHを経験したので報告する．

　症　例

　患　者：里○一〇，57歳，男．

　主　訴：心窩部痛，胃部膨満感．

　家族歴，既往歴：特記すべきことなし．

　現病歴：1976年7月より食後心窩部痛と胃部膨満感を自覚していた．同年8月胃集検を受け精査通知があった．同年10月に近医を受診し，胃X線検査および胃内視鏡検査の結果早期癌を疑われ，手術をすすめられたため当院を紹介され入院した．

　A 57 year-old man was admitted to Kagoshima University Hospital with a complaint of epigastric pain. X-ray and endoscopic examination of the stomach showed possible early gastric cancer, type Ⅱc+Ⅲ. Biopsy, however, revealed no malignancy and lymphoreticular hyperplasia was suspected. Gastrectomy was done. It was also difficult to be differentiated from early gastric cancer, type Ⅱc+Ⅲ, at a gross appearance of the resected specimen. Histologically, malignant lymphoma was denied.