Abstract
A 56-year-old man was pointed out to have several ulcerative lesions in the stomach onannual UGI X-ray examination. Endoscopic examination revealed 3 lesions of IIc and onelesion of IIa, which were histologically well ar moderately differentiated adenocarcinoma.Under the diagnosis of synchronous multifocal early gastric carcinoma with 4 lesions, totalgastrectomy with regional lymph node dissection was carried out. Qn the resected specimen, 3more IIc lesions were found. Histologically, it was a synchronous multifoval early gastriccarcinorna with 7 lesions:5 of mucosal carcinorna and 2 of submucosal carcinoma, all of themwere well or moderately differentiated adenocarcinoma. only 19 cases including ours have beenreported in Japan about synchronous multifocal gastric carcinorna with rnore than 7 lesions.
