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Diffuse Infiltrative Carcinoma of the Gastric Remnant, Report of a Case T. Konishi 1 , T. Katayanagi 1 , Y. Maeda 2 , T. Takizawa 3 , M. Koike 3 1Department of Surgery, Tokyo Metropolitan Komagome Hospital 2Department of Internal Medicine, Tokyo Metropolitan Komagome Hospital 3Department of Pathology, Tokyo Metropolitan Komagome Hospital pp.1223-1228
Published Date 1983/11/25
DOI https://doi.org/10.11477/mf.1403109284
  • Abstract
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 The patient, a man 53 years of age, underwent subtotal gastrectomy and Billroth Ⅱ reconstruction 11 years before at another hospital because of Borrmann 3 type of gastric cancer in the pyloric antrum. Recently he visited the same hospital with chief complaints of easy fatiguability, weight loss and epigastralgia. As cancer of the gastric remnant was found by endoscopic examination, he was referred to our hospital. X-ray and endoscopic examination of the remnant stomach before the operation gave us a diagnosis of early cancer of Ⅱc type, so that subtotal excision of the remnant stomach was carried out. Histological examination of the resected specimen revealed that it was diffuse infiltrative advanced cancer with cancer infiltration at the oral margin. He had to undergo total resection of the residual stomach with distal pancreatectomy and splenectomy. One year and a half later the patient is free from any symptoms of recurrence.

 In the resected specimen were seen small erosions scattered about on the folds of the greater curvature besides Ⅱc-like lesions diagnosed before the operation. Retrospective study of the x-ray films and endoscopic pictures showed that these erosive lesions were well depicted but they were overlooked. It is quite a rare finding for small erosions to be scattered about over the folds of the greater curvature.

 If we had been able preoperatively not to overlook these lesions, we might have been able to arrive at an accurate diagnosis. Some reference to the literature was made.


Copyright © 1983, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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