<原著>肺胃重複癌の 1 例

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タイトル別名
  • LUNG-STOMACH DOUBLE CANCER : A CASE REPORT
  • 肺胃重複癌の1例
  • ハイ イ チョウフクガン ノ 1レイ

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説明

A case of lung-stomach double cancer was reported. Both cancers were confirmed successively by endoscopic method within a short term of hospitalization. The patient was 66-year-old man whose chief complaint was cough and emaciation. His chest film on admission showed tumor densities on left side. A study of bronchial brushing smear from 1-B_5 showed malignant cells and cornified squamouns cell carcinoma was demonstrated on transthoracal needle biopsy specimen. Abdominal discomfort urged a gastrointestinal fluoroscopy which suggested the presence of gastric tumor. Gastrofiberscopy revealed a skirrhus type stomach cancer situated in pyloric lesion. The patient died of bronchopneumonia on fourty third day of hospitalization. Post mortem examination showed that while both cancers were advanced ones, the invasion of lung cancer was confined within the thoracic cavity with no evidence of lymphogenic or hematogenic metastasis. On the other hand, stomach cancer was accompanied by an extensive lymphogenic metastasis spreading along the aorta as far as the level of tracheal bifurcation. A review of literatures was also made concerning the mutual interference in spreading mode of double cancer.

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