Abstract
A 62-year-old man with a long-standing history of dysphagia and anemia was admitted to our hospital with symptoms of severe dysphagia and general weakness. Laboratory analysis revealed a typical iron deficiency anemia. Gastrointestinal x-ray and endoscopic examinations showed a membranous stenosis in the upper esophagus, which suggested an esophageal web and a Borrmann type 1 tumor on greater curvature of the gastric body which was proved to be a moderately-differentiated adenocarcinoma by endoscopic biopsy. Under a diagnosis of gastric cancer with Plummer -Vinson syndrome, the patient underwent radical subtotal gastrectomy with D2 nodal dissection. Macroscopically, the resected stomach contained a Borrmann type 1 cancer in the body. Pathological findings demonstrated atrophic change of the gastric mucosa and a lesion of papillary adenocarcinoma. The patient had an uneventful postoperative course, and his dysphagia and iron deficiency anemia have recovered by oral administration of iron therapy.
