1年9ヵ月経過をみた多発早期胃癌（Ⅰ型およびⅡa型）の1例

MULTLPLE SIMULTANEOUS EARLY GASTRIC CANCERS, REPORT OF A CASE: Multiple Mucosal Carcinomas, Type Ⅰ and Type Ⅱa, Followed up for 1 Year and 9 Months

Ⅰ．症例

　患者：鶴○孝，52歳，男，

　主訴：なし．

　現病歴：昭和40年10月，胃集団検診で，前庭部の異常を指摘され，10月11日，当科受診．

　既往歴：特記すべきことはない．

　家族歴：癌死はない．

　A case with two co-existent mucosal carcinomas, correctly diagnosed by preoperative examinations, is reported. This case was first found by chance by gastric mass survey and the patient complained of no abdominal distress.

　Although the initial diagnosis was single gastric polyp, subsequent X-ray examinations during the lapse of one year and 9 months disclosed another lesion and our final conclusion before the operation was multiple early cancers of the stomach. Compression was the method of choice, in our case, as it enabled us to ascertain the exact nature of the lesions. By means of endoscopy, two protruding lesions were demonstrated. Pathohistologically they proved to be mucosal carcinomas.