2000 Volume 42 Issue 3 Pages 266-271
A 80-year-old woman was admitted to our hospital with a complaint of appetiteloss. Endoscopic examination showed multiple SMT-like lesion on the greater curvature of the lower gastic body. A biopsy specimen from the lesion indicated adenocarcinoma. By upper GI X-ray and EUS examination the patient was diagnosed as having advanced gastric cancer and underwent an operation. The lesion was located within the limited area of the gastric body, 8 cm in diameter. Of the several elevations over the lesion, only the one nearest to the anal side showed a central depression and therefore was thought to be a primary. Histological findings disclosed poorly differentiated adenocarcinoma with severe lymphocytic infiltration. The depth of invasion was se (Serosa-exposed). The multiple SMT-like lesion was formed as the result of gastric cancer with severe lymphocytic infiltration metastasizing through lymphatic invasion. This case is very rare so we report.
