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Advanced Gastric Cancer Simulating Early Cancer (Ⅱb+Ⅱc), Report of a Case Masaru Haraguchi 1 , Takeshi Okamura 1 , Daisuke Korenaga 1 , Keizo Sugimachi 1 , Kiyoshi Inokuchi 3 1The Second Department of Surgery, Faculty of Medicine, Kyushu University 2Saga Prefectural Kouseikan Hospital pp.909-913
Published Date 1986/8/25
DOI https://doi.org/10.11477/mf.1403110305
  • Abstract
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 We reported here a 61 year-old man with advanced gastric cancer which looked like a superficial cancer frequently encountered. Macroscopically the lesion was located at the antrum with slight depression with the mucosa oral to it appearing normal. Partial gastrectomy was carried out with free oral margin of 7.5 cm. Grossly, intraoperative findings were Stage Ⅰ; no serosal invasion; no regional lymph node metastases; no peritoneal dissemination; no liver metastasis.

 Histological study, however, revealed that poorly differentiated adenocarcinoma with extensive invasion to the lymph vessels deep into the serosa as well as to the gastric stump.

 Ten months after the gastrectomy, re-gastrectomy was performed. But the patient died of peritoneal cancer dissemination four months later. Cytophotometric DNA analysis showed low ploidy pattern in both primary and remnant lesions.


Copyright © 1986, Igaku-Shoin Ltd. All rights reserved.

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

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