1981 Volume 23 Issue 11 Pages 1559-1565
A 43 year-old man was admitted to our hospital with pain in the right hypochondrium. X-ray and endoscopic examinations of the stomach revealed IIc-like lesion on the anterior wall of the angle. On subtotal gastric resection chylous transudate from the oral edge of the resected stomach was observed, and immediately total gastric resection was performed because the smear of the chyle was diagnosed cytologically as adenocarcinoma. Histological study of the resected stomach was as follows; Early IIc-type cancer was seen on the anterior wall of the angle ; Massive cancer cell invation into lymphatic channels, that was lymphangiosis carcinomatosa type infiltration, was founed widely in the corpus; Mucosal carcinoma accompanied with Iymphangiosis carcinomatosa was observed in several part of the corpus ; And the IIc focus was separated from the lymphangiosis carcinomatosa lesion. X-ray and endoscopic views were studied retrospectively, but no abnormal findings were obtained in the corpus.
