A Case of Multiple Early Gastric Cancer with 6 Lesions

Abstract

A 54-year-old man with multiple gastric cancer underwent partial gastrectomy.
According to previous reports the average age of the patient with multiple gastric cancer was higher than that of the patient with single gastric cancer. This case was younger if anything.
Preoperative examinations by endoscopy and upper GI series disclosed 4 depressed lesions and 1 elevated lesion. But histological examination of the surgical specimen revealed another small cancer lesion in addition to preoperative diagnosed 5 lesions, and the elevated lesion was IIa+IIc type according to the macroscopic classification. Depth of their invasion was as follows : m lesion was seen in 3 and sm lesion was seen in the other 3.
It was reported that the cases with multiple gastric cancer had mostly 2-4 lesions, and so our case had 6 lesions and was extremely rare.