噴門部癌に胃体下部癌，前庭部後壁腺腫を合併した1例

Early Cardiac Cancer Accompanied with Gastric Corpus Cancer and Adenoma, Report of a Case

要旨　患者は66歳，男性．胃腺腫精査にて当科紹介精査となる．主病変は胃噴門部小彎の0-Ⅱaで，大きさ30×15mm．組織型はtub1，深達度m（Siewert Type Ⅱ）であり，他に胃体下部大彎の0-Ⅱa，大きさ25×17mm，組織型tub1，深達度mの癌と胃体下部後壁の0-Ⅱa様，10×9mm，tubular adenomaを併存していた，噴門部癌は癌多発性の点からも注目されており，注意を要する症例として報告した．

　A 66-year-old man was introduced to our hospital by another clinician who had found a gastric adenoma. X-ray examination of the upper gastrointestinal tract and upper gastrointestinal endoscopy revealed a mucosal flat elevated lesion in the esophagogastric junction (EGJ) and three other lesions in the gastric corpus. The lesions were early mucosal cancer (0-Ⅱa), measuring 30 × 15 mm in diameter, in the lesser curvature of the stomach in the EGJ, early mucosal cancer (0-Ⅱa), measuring 25 × 17 mm in diameter, in the greater curvature of the lower body, and adenoma measuring 10 × 9 mm in diameter, in the posterior wall of the lower body.

　Patients with cardiac cancer are liable to have multiple gastric cancers.

　Therefore, as own case indicates, careful diagnosis before treatment should be carried out in such cases.