前壁Ⅱc型早期胃癌の1例

Ⅱc TYPE OF EARLY GASTRIC CANCER, REPORT OF A CASE. (MUCOSAL CARCINOMA SITUATED ON THE ANTERIOR GASTRIC WALL)

Ⅰ．症例

　患　者：小○テ○エ，43歳，女

　主　訴：上腹部痛

　現病歴：約3力月前より，空腹時に上腹部痛をおぼえ，食欲不振で時々悪心があった．便通1日1行．

　既往歴：23歳の時に肺結核に罹患．25歳時，卵巣腫瘍の摘出術．39歳時，甲状腺癌の手術をうけている．

　家族歴：特記することはない．

　The patient was forty three years old female. Her chief complaint was epigastric pain. By the x-ray examination, an irregular shadowy fleck was noticed on the anterior wall of the antrum and the gastric folds were broken down at the margin. By the double-contrast method taken in abdominal position, the change was revealed most clearly. By the gastrocamera examination, a shallow excavation with an irregular margin was noticed and the folds broken down at the margin were noticed. In the operated stomach, an excavating change 10×11 mm was noticed. Pathologically, the cancer cells were mainly restricted inside the mucous membrane. At some marginal portions, the cancer cells reached the submucous layer. The cancer was the mucous cellular carcinoma. One case of Ⅱc type early gastric cancer on the anterior wall was presented.