Gastric Stump Carcinoma of the Lesser Curvature Following Billroth Ⅰ Resection T. Hamada 1 , T. Yarita 1 , F. Kaji 1 , M. Matsukawa 1 , N. Kuwabara 2 , S. Kitamura 1 1Department of Gastroenterology, Juntendo University, School of Medicine 2Department of Pathology, School of Medicine pp.1325-1328
Published Date 1982/12/25
DOI https://doi.org/10.11477/mf.1403108641
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 An asymptomatic 51-year-old man was admitted to our hospital with an abnormality of the stomach detected at a gastric mass survey. He had undergone Billroth Ⅰ resection 19 years earlier for gastroptosis. A barium meal study showed a nodular mass overlying the suture of the gastric stump. There was no evidence of obstruction of the stoma. At gastroscopy, an irregularly shaped nodular tumor with spotty whitecoated surface was well observed on the lesser curvature. The patient underwent radical gastrectomy.

 Macroscopic survey of the resected specimen showed a polypoid cancer measuring 5.0×3.5 cm. Histologically, mucocellular . adenocarcinoma invaded the submucosa.

 In the morphological analysis of our 12 lesions and 73 reported lesions of a primary postgastrectomy carcinoma, after Billroth Ⅱ resection it is commoner at the site of anastomosis, while after Billroth Ⅰ operation it is oftener seen at the suture.

Copyright © 1982, Igaku-Shoin Ltd. All rights reserved.


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