Abstract
The patient, a 65-year-old man was found to have early gastric cancer of the antrum on endoscopy for examination of anemia in April 1999. The biopsy specimens were classified as Group V (tub1).
The patient did not wish to undergo surgery, and did not visit our hospital for about five years despite an early gastric cancer left untreated. In January 2004, he had a medical examination for common cold at our hospital, and it became clear that the patient had left the early gastric cancer untreated for about five years. He had been found to have early gastric Cancer (IIc) in 2004. Because the appearance of the lesion had changed, a subtotal gastrectomy was performed in April, 2004. The final diagnosis was an early gastric cancer (0-IIc, tub1), and the depth of invasion was pT1 (sm2). Cases of early gastric cancer are rarely followed for such a long time. We herein describe this type of early gastric cancer and review the literature in this regard.