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A CASE OF MULTICENTRIC EARLY GASTRIC CANCER Chen 1 1Dept. of Internal Medicine, Taipei City Hospital, Republic China pp.1593-1599
Published Date 1968/11/25
DOI https://doi.org/10.11477/mf.1403110667
  • Abstract
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 Patient: Male, 63 years of age, a native of Honan Province, Mainland China. Main Complaints: Dull pain in the upper abdomen, and anorexia. Present Ailments: Starting approximately from May of 1967, the patient suffered an obtuse pain in the upper abdomen. The decrease of appetite resulted in the loss of weight.

 Anamnesis: High blood pressure, and the after-effect of the stroke (for the past five years). The patient underwent the total extraction of his left lung on Sept. 19, 1966. Pathological examination revealed the existence of adenocarcinoma of the lung and tuberculosis.

 Examinations: In July of 1967, the first application of the fiberscope and the gastroscope revealed a polyp on the greater curvature at the level of the gastric angle, together with the depression (Type Ⅱa & Ⅱc) on the anterior wall of the vestibule, surrounded by five or six small elevations and a small prominence on the posterior wall of the vestibule as well.

 Additional examinations were carried out five or six times, and with the help of the biopsy under direct view the atypical glandular structure was detected.

 X-ray examinations were carried out three or four times, during the period of from Aug. 3 to Oct. 20, 1967. The compression studies were helpful in revealing one protruding lesion each in the vestibular region and on the greater curvature. The former was diagnosed to be Type Ⅱa & Ⅱc, while the latter was suspected to be Type I because of its polyp-like appearance.

 The excision of the stomach was carried out, and the lesion on the anterior wall of the vestibule was confirmed to be Type Ⅱa & Ⅱc pathologically. In addition, another one of Type Ⅱa & Ⅱc was found close by, and another of Type Ⅱc on the posterior wall of the vestibule.

 Thus this case is believed to be rnulticentric early gastric cancer (Type Ⅱa & Ⅱc, Ⅱa & Ⅱc, Ⅱe), arising from the so-called chronic gastritis. Moreover, it is a case of veritable double cancer (adenocarcinoma in the left lung and the early stage of stomach cancer).

 This case is the very first one of the early stage stomach cancer which we detected with the application of the gastroscope.


Copyright © 1968, 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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