Multiple Ⅱc Type Early Microcarcinomas of the Stomach, a Case Report T. Takegoshi 1 , Y. Yamase 1 , H. Ochiai 1 , K. Takagi 2 , Y. baba 3 1Dept. of Internal Medicine, Cancer Institute Hospital 2Dept. of Surgery, Cancer Institute Hospital 3Dept. of Pathology, Cancer Institute Hospital pp.1525-1531
Published Date 1972/11/25
DOI https://doi.org/10.11477/mf.1403109049
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 A report is made of small double early cancers of the stomach seen in a 44-year-old woman. The cancer on the posterior wall of the antrum measured 7×5 mm, and the other on the posterior wall in the lower body was 4×4 mm in size. The larger lesion was recognized both by x-ray and endoscopy as a well-defined, shallow and irregular depression of the mucosa. As the surrounding mucosa was protruded as in a Ⅱc lesion, this was diagnosed as Ⅱc. However, biopsy revealed atypical epithelial lesion belonging to Group Ⅱ. Consequently, we had to wait another six-months for further follow-up. In the interim x-ray and endoscopy examinations were done three times, the lesion remaining unchanged during that period. Malignancy was not confirmed until the third biopsy when materials were taken from the central portion of the depression.

 The other smaller lesion was not clear even on the resected specimen, and only histological examination disclosed the existence of malignancy. Retrospective interpretation of x-ray and endoscopy findings has revealed a very small, irregular depression or niche. This case seems to show that strict interpretation of roentgenograms obtained may lead to diagnosis of cancer even less than 5 mm in diameter.

Copyright © 1972, Igaku-Shoin Ltd. All rights reserved.


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