A Case of Villous Appearing Giant Early Gastric Carcinoma

Abstract

A 72-year-old female was admitted to the hospital complaining of tachypnea, anemia and abdominal discomfort. Endoscopic examination revealed a large villous appearing tumor, about 10cm in size, at the gastric angle. The tumor was friable and a barium meal study demonstrated the“soap-bubble”appearance, which is considered to be a characteristics of the villous tumor. As a histological examination of the biopsy specimen showed group III, the partial gastrectomy was performed. Macroscopical view of the resected specimen demonstrated the 10×5×3cm sized elevated tumor with villous appearance. As highly differentiated adenocarcinoma with villous structure was indentified, the tumor was diagnosed as early gastric cancer type 1, which invaded only to the mucosal layer.