Abstract
A 65-year-old man was found to have a linear ulcer on the anglus of the stomach by a routine X-ray study in 1968. X-ray study has been performed several times scince 1968 and disclosed a linear ulcer on the anglus with a tabacco-pouching deformity and this deformity was progressive, but no evidence of malignancy was noted on X-ray picture performed in 1980. Gastrocamera study has performed 6 times in 13 years. A peptic ulcer was sometimes observed in the middle of the scar without malignant findings. Gastrofiberscopy performed in 1980 revealed a depressed lesion on the anterior aspect of the scar, and the biopsy speci-mens were classified into group V. The surgically resected specimen showed a linear ulcer scar, 6cm in length and a IIc type depressed lesion, 3 × 3.5cm in diameter, on the anterior edge of the scar. Histopathologically, the scar was ulcus-IV scar, pnd the IIc type lesion was diagnosed as moderately differentiated tubular adenocarcinoma (m), and apart from this lesion a min-ute IIc, well differentiated tubular adenocarcinoma (m), was also found on the lessure cur-vature on the scar. These were thought to be multicentric in nature.
