Gastric Cancer with a Wide Superficial Spreading Found in a Case of a Spinal Cord Tumor

Abstract

A 41-year-old man was admitted to our hospital with a chief complaint of stiffness and muscle atrophy of the right arm. He also showed a difficulty in swallowing and the occult blood of faces.
X-ray and endoscopic examinations of the stomach showed an irregular depression at the posterior wall of the upper body, IIc-like lesion with fold convergency at the greater curvature of the middle body, and decolouration and roughness of the mucosal surface on the posterior wall of the angle., Biopsy specimens from these lesions revealed tubular adenocarcinomas and total gastrectomy was performed. The resected specimen showed a 14.5×14.0cm superficial spreading of early cancer of IIb +IIc type. Histologically, a moderatoly differentiated tubular adenocarcinoma was localized mainly within the mucosa and it partially invaded the submucosa.
This patient was diagnosed also to have a spinal cord tumor. Upon operation this was found to have extended from C₁ to C₅ and the resection was impracticable. Histological diagnosis was astrocytoma grade II.