Abstract
A 55-year-old man who had been under 2 years of medical treatment for alcoholic liver injury was admitted with ascites on August 13, 1983. Gastroscopy demonstrated an early gastric cancer of type ha on the lesser curvature of the gastric angle. The histrogical examination showed signet ring cell carcinoma. We had pure ethanol injection therapy due to serious liver disfunction. Since liver biopsy under laparoscopy revealed hepatic fibrosis, the patient underwent subtotal gas-trectomy. In the resected specimen, an early gastric cancer (m) of IIb type was found around the injectional area, and finally a diagnosis of early gastric cancer, IIa+IIb type was made. The region injected with pure ethanol was ulcerated without residual cancer cells. A elevated lesion of signet ring cell carcinoma has been rarely reported, and we could obtain a good result by the ethanol injection therapy for treatment of a case of early gastric cancer (IIa+IIb).
