A CASE OF EARLY GASTRIC CANCER ASSOCIATED WITH BOWEN'S DISEASE

Abstract

A 74 years old female has had a plaque and a erosive lesion on the left ring finger and right leg respectively for over 2 years, which has increased in the size gradually. As a diagnosis of Bowen's diseases was made by biopsy from the lesion of left finger, the lesions was excised. Patient was then referred to us for examination of internal malignancies. By endoscopic examination of the stomack, an irregular shallow mucosal depression was found on the lesser curvature of the lower body, which was comf irmed as cancer by biopsy and made a diagnosis of IIc type gastric cancer. Subtotal gastrectomy was done and pathological examination revealed early gastric cancer type IIc, moderately differentiated adenocarcinoma, with no lymph nodes metastasis. Among fourteen cases of gastric cancer with Bowen's disease reported in Japan, three were of early gastric cancer. Necessity of endoscopic examination in patient with Bowen's disease is emphasized. A 74 years old female has had a plaque and a erosive lesion on the left ring finger and right leg respectively for over 2 years, which has increased in the size gradually. As a diagnosis of Bowen's diseases was made by biopsy from the lesion of left finger, the lesions was excised. Patient was then referred to us for examination of internal malignancies. By endoscopic examination of the stomack, an irregular shallow mucosal depression was found on the lesser curvature of the lower body, which was comf irmed as cancer by biopsy and made a diagnosis of IIc type gastric cancer. Subtotal gastrectomy was done and pathological examination revealed early gastric cancer type IIc, moderately differentiated adenocarcinoma, with no lymph nodes metastasis. Among fourteen cases of gastric cancer with Bowen's disease reported in Japan, three were of early gastric cancer. Necessity of endoscopic examination in patient with Bowen's disease is emphasized.