1年10ヵ月経過観察し早期胃癌と思われた進行癌の1例

A Case of Advanced Carcinoma of the Stomach Closely Resembling Early One and Followed up for One Year and Ten Months

症例

　患　者：G. K.　男，51歳，製材工

　主　訴：胃心窩部膨満感

　家族歴：父親が胃癌で死亡している．

　既往歴：マラリヤに罹患したほか，10年来高血圧の治療を受けている．

　現病歴：昭和42年3月に胃心窩部膨満感の愁訴があり某医の診療を受けていた．この間，昭和42年3月と同年秋に胃カメラ検査を受け，胃炎といわれていた．

　The present case suggested at the initial endoscopy either a small ulcer or an ulcer, but we were unable to point it any further, because we had to examine the patient on a visit. He was thus followed up by endoscopy alone. The ulcer or ulcer scar remained in a stage of healing, but after one year and ten months it exhibited a picture of a Ⅱc lesion.

　Biopsy done shortly after admission to our Department revealed cancer. Histological study of the resected stomach showed it an advanced one, involving lymphatic vessels deep in the layers of the serosa and muscularis propriae.

　Even retrospectively studied, the endoscopic pictures were no other than those of Ⅱc type early cancer, nor did x-ray pictures show any particular change suggestive of advanced carcinoma.