Abstract
This paper reports a case of synchromous early double cancer of the stomach and gallbladder in an aged patient.
A 91-year-old woman was admitted to the hospital because of epigastric pain and anemia. Gastric endoscopy was performed and an early cancer of IIa+IIc type in the pyloric vestibule was found. Abdominal echogram and CT revealed a cholecystic tumor associated with cholecystic calculi. Distal subtotal gastrectomy with primary lymph node dissection and cholecystectomy were carried out. The gastric lesion was a papillary adenocarcinoma localized in the submucosal layer, while the gallbladder lesion was a ductal adenocarcinoma invading the muscularis propria. There was no regional lymph node involvement for both lesions. Postoperative course was uneventful, and the patient was discharged from the hospital on the 21st hospital day. There has been no recurrence, as of 3 years after the operation. Synchronous early double cancer of the stomach and gallbladder is so rare that only 9 cases including this one in an eldest among them have been reported in the Japanese literature.
