Abstract
A 71-year-old man was referred to our hospital for further examination and treatment, based on a previous contrast study. The contrast study showed three lesions suspected as gastric carcinoma. Upper endoscopic examination showed four lesions contained another lesion from a previous study. Computed tomography (CT) showed the swollen lymph node of the lesser curvature of the stomach. We diagnosed this case as four synchronous gastric carcinomas. Total gastrectomy with Roux-en-Y reconstruction and D2 lymph node dissection was performed. Macroscopically we found other two lesions. Total segmentation showed another lesion. Finally, postoperative pathological evaluation disclosed seven gastric carcinoma lesions. The gastric carcinomas were well to poorly differentiated tubular adenocarcinoma and signet ringcell carcinoma. Recently, synchronous multiple gastric carcinomas have been increasingly reported. However most of them are only two or three lesions. The synchronous gastric carcinoma in seven lesions like this case seems to be rare. This case is presented here with some bibliographic consideration.
