The Journal of Medical Investigation
Online ISSN : 1349-6867
Print ISSN : 1343-1420
ISSN-L : 1343-1420
Case reports
A patient with octopus pot-shaped cardial cancer that metastasized to multiple organs
Tatsuhiko ShiraishiIchiro ShimizuTakahiro HorieMichiyo OkazakiMomoko TeraokaKazunori TakeichiKouzou UeharaKensuke FujiwaraSoichiro FujiwaraHirofumi YamamotoArata IuchiShingo WakatsukiSusumu Ito
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2005 Volume 52 Issue 1,2 Pages 122-125

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Abstract

A 71-year-old male was admitted for abdominal fullness. The condition rapidly deteriorated in a short period (3 weeks), and the patient died. Autopsy revealed a protruding lesion measuring about 3 cm with erosion measuring 5 mm in diameter immediately below the esophago-gastric conjugation site, suggesting primary cardial undifferentiated adenocarcinoma. In the primary focus, changes on the mucosal surface were almost normal. However, below the mucosa, infiltration of cancer cells was observed in an approximately 3 cm area along the gastric wall. Simultaneously, the site of infiltration was markedly increased in deep areas. Extraserous infiltration was observed. The morphology was special, and resembled an octopus pot, a trap used to catch octopuses in Japan, with a narrow top and a broad base. In our patient, metastatic lesions were detected in multiple organs, including the stomach. J. Med. Invest. 52: 122-125, February, 2005

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© 2005 by The University of Tokushima Faculty of Medicine
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