Abstract
SUMMARY : A 54 year-old man with IIc type early gastric cancer is reported. In September 1972, he visited to a clinic because of epigastric pain, and was diagnosed as early gastric cancer by upper GI-series and endoscopic examination with biopsy. Surgical treatment was advised, but he did not accept it. About 11 years later, he visited to our hospital with a complaint of recurrent epigastric pain after meals. Radiographic and endoscopic examinations revealed IIc type early gastric cancer at the posterior wall of the gastric angulus, and biopsy specimen revealed signet ring cell carcinoma. Subtotal gastrectomy was performed in January 1984. Histological examination of the resected stomach showed the cancerous involvement limited to the superficial zone of the mucosa, measuring 15 x 10 mm in size, and associated with Ul-IV scar. Although depressed types of early gastric cancer, generally, should show slow growth, it is extremely rare that gastric cancer should be in situ during such a long term as more than 11 years.
