Abstract
A 47-year-old housewife was admitted to Okura National Hospital on Feb. 23, 1970 with a complaint of upper abdominal pain. Two months prior to the present illness she began to have heart burn, easy fatigue and weightloss insidiously.
Laboratory evaluation showed no remarkable changes except for acceleration of E. S. R.
Roentgenographic examination of the stomach revealed a intraluminal mass arising from the lesser curvature of the stomach. The margin of the mass was smooth.
Total gastrectomy with end to side esophago-jejunostomy in association with extirpation of the spleen was performed.
Grossly, there were two tumors in the stomach. One was a 75 by 45 by 5mm. tumor, situated on the posterior wall of the stomach ; the other was a 35 by 20 by 5mm, tumor on the anterior wall. Pathological features of them were lymphoblastic lymphosarcoma. She had remained well for 18 months with no evidence of the recurrent disease.
