多発性胃血管腫の1例

A Case of Multiple Hemangiomas of the Stomach

　胃に発生する非上皮性腫瘍は，癌腫に比しその発生頻度は低いが，なかでも特に血管由来の腫瘍はきわめて稀で，本邦での報告は良，悪性をふくめて20数例をみるにすぎない．

　我々は最近，小児期に胃血管腫を発見され胃部分切除術をうけた後，残胃に多発性血管腫が再発した1例を経験したので報告する．

　The patient, a 17-year-old girl, had undergone partial gastrectomy seven years previously because of multiple cavernous hemangiomas and they had been completely removed by it. Since nearly two years after the operation she had some undetermined complaints with anemia and tarry stool.

　X-ray examination of the stomach revealed two round radiolucent areas, both about 8 mm in diameter: the one in the antrum, and the other in the angulus. Endoscopically, four round protuberances were found. Their surface was smooth, of dark red color and slightly excavated in the centrum and accompaneid with bridging folds.

　Careful observation has been done on these tumors and some new treatments such as endoscopic therapy and anticarcinomatous drug therapy are discussed.