2022 Volume 64 Issue 1 Pages 37-42
A 70-year-old man with laryngeal and lung cancers presented for endoscopy. Esophagogastroduodenoscopy (EGD) revealed a 20-mm Type 0-Ⅱa＋Ⅱc gastric cancer located in the lesser curvature of the upper stomach. Since the gastric cancer was early-stage and asymptomatic, we proceeded with surgical treatment for the laryngeal and lung cancers because they had good prognosis. Histopathological examination revealed primary laryngeal cancer with lung metastasis. Three months later, he was diagnosed with anemia, and EGD showed that the gastric cancer had progressed from a 20-mm Type 0-Ⅱa＋Ⅱc tumor to a 50-mm Type 1 tumor. There was no progression of the laryngeal cancer. He required intermittent blood transfusions; subsequently, surgery was performed for the gastric cancer. Histopathological examination confirmed it as Type 1 gastric cancer (tub1 > tub2）, pT1b2, pN0, Stage IA. No relapse of the laryngeal or gastric cancer was detected for 13 months. We report this case because it exemplifies the rare progression of a gastric cancer.
