1984 Volume 26 Issue 11 Pages 1957-1963
A 63-year-old man visited our hospital complaining of epigastric discomfort. Upper GI series revealed small elevated lesions involving the cardia, f ornix, and upper gastric body. Endoscopic study disclosed nodular clusters of polypoid lesions with erosion and redness, in wide area extending from the cardic region to the upper body. Endoscopic view of fine uneveness and granules of the elevated mucosal surface was emphasized by scattering indigocarmin. Total gastrectomy was performed and the resected specimen showed "grouped ha" with IIb lesion. Histologically, the lesion was well-differentiatedadenocarcinoma. Depth of invasion was mostly limited within the mucosal layer, and partially invaded into the submucosa. Repoted cases of "grouped ha" type early gastric cancer in Japan were all localized in the antrum and the body. It is rare that the lesion was located in the proximal stomach.
