A CASE OF GASTRIC CARCINOMA IN VILLO-TUBULAR ADENOMA COEXISTING WITH MULTIPLE GASTRIC CARCINOMA

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  • 多発胃癌に並存した胃絨毛管状腺腫内癌の1例

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A 65-year-old man was pointed out anemia at elsewhere and reffered to the hospital. On admission Hb level was 8.5g/dl, fluoroscopic and fiberscopic examinations showed 3 abnormal areas, which were: (1) a protruded mass like the Borrmann 1 type carcinoma measuring above 8cm, on the posterior wall of the angle; (2) a protruded mass like IIa-aggregating lesion on the lesser curvature of the antrum; and a protruded mass consistent with type IIc on the greater curvature of the antrum.<br> The biosy results of these lesions noted well differetiated adenocarcinoma. Under a diagnosis of multiple gastric cancer, a subtotal gastrectomy was performed. Histologically, lesion (1) was carcinoma in the tubullo-villous adenoma; lesion (2) was carcinoma in the tubular adenoma; and lesion (3) was early carcinoma. All three lesions were parted with normal gastric mucosa, and invaded until the mucosal layer.<br> Though villous tumor of the stomach is relatively rare comparing with another polyps of the stomach, the cancer change can occur in a high percentage. So its treatment should be the same as that of the cancer.

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