A 73-year-old man with early gastric cancer was admitted to our hospital on April 13, 1994. Endoscopic and X-ray examination was IIc in the small curvature of the gastric angle. Biopsy specimen showed tubular adenocarcinoma. But DIP, abdominal echo showed the right hydronephrosis, and so, retrograde pyelography showed the stenotic lesion from L5 to S1 level and abdominal CT showed the low density area of the right ureter. So under the diagnosis of the ureteral tumor, the patient had undergone the right nephrouretectomy with partialcystectomy. Pathological diagnosis was tubular adenocarcinoma, ly (-) , v (+) .
After this operation, subtotal gastrectomy was performed. Pathological diagnosis of the gastric cancer was double early cancers, IIc, tubular adenocarcinoma, ly (-) , v (-) in small curvature of the gastric angle and IIc, tubular adenocarcinoma, ly (-) , v (-) in the anterior wall of the middle portion. The ureteral tumor was suggested to be the metastasis of this gastric cancer from pathologically and no other abnomal lesions.
