1986 Volume 28 Issue 3 Pages 582-587
A 49-year-old man who had undergone Billroth II gastrectomy due to gastric ulcer 26 years ago, admitted to our hospital because of suspicion of stomal cancer. Endoscopic examination revealed a slightly depessed lesion with white coat along the gastrojejunostomy. The biopsy specimen revealed adenocarcinoma and total resection of the remnant stomach was done. Macroscopically, the resected specimen showed annular IIc lesion, 15×70mm in diameter, along the stoma. Histologically, stomal gastric mucosa showed hyperplasia and cystic dilatation of the pseudopyloric glands and their submucosal invasion ; these features were reported as gastritis cystica polyposa (GCP) by Littler et al., and moderately differenciated adenocarcinoma exsisted in the superficial mucosa and submucosal layer in GCP. It was considered that carcinoma developed from GCP, as IWASHITA et al. reported in 1982. There was no lymph node metastasis and the patient is living well 14 months after the operation.
