A CASE OF MULTIPLE DIFFUSE SUBMUCOSAL CYSTS OF THE STOMACH WITH AN EARLY GASTRIC CANCER (TYPE IIc) AND ATP

Abstract

A 57-year-old man visited the hospital because of discomfort of the epigastric region in 1982. An upper GI series and endoscopic examination revealed a polyp in the lesser curvature of the gastric antrum, but a directivision gastric biopsy was negative. In 1989 discomfort of the epigastric region appeared again. An upper GI series and endoscopic examination revealed an early gastric cancer other than the polyp. Distal gastrectomy was performed. The polyp was a cyst of the stomach and in pathological examination of the resected stomach, cysts were distributed diffusely and ATP was partially seen in a mucosal layer.
Multiple diffuse submucosal cysts have been discussed in an association with malignant neoplasms. Recently attention is called to the successful diagnosis of the disease by endoscopic ultrasonography. This case presented here with a brief discussion had developed a gastric cancer and ATP 7 years after suspicion of this diseases.