1983 Volume 25 Issue 8 Pages 1217-1225
This report described the case of a 47-year-old male patient with early gastric cancer with complicating lymphoid stroma and heterotopic gastric glands. He was admitted to our hospital following complaints of epigastralgia. X-ray and endoscopic examination revealed a submucosal tumor on the posterior wall of the middle gastric body and a IIc type tumor on the greater curvature of the lower gastric body, which was subsequently confirmed by biopsy as a moderately differentiated tubular adenocarcinoma. In the pathological examination of the resected stomach, the IIc type tumor was a moderately differentiated tubular adenocarcinoma involving remarkable lymphoid infiltration in the submucosal layer. This type of gastric carcinoma was designated as gastric carcinoma with lymphoid stroma. A submucosal tumor, measuring 2.0 ? 1.2 cm, was a submucosal cyst which consisted of heterotopic glandular structures, later diagnosed as retention cysts. Heterotopic glandular structures also appeared diffusely in the submucosal layer. We reported here a rare case of early gastric cancer with lymphoid stroma and heterotopic gastric glands.
