1993 Volume 54 Issue 8 Pages 2081-2085
A case of gastric cancer with multiple myeloma is reported. A 72-year-old woman was admitted to the hospital because of epigastralgia. An upper gastrointestinal series revealed an elevated type tumor on the greater curvature of the corpus, and it was diagnosed as adenocartinoma by histological examination. On admission, RBC count was 306×104/mm3. Serum electrophoresis showed a presence of M component. Bence-Jones protein in urine was negative. The bone marrow smear showed 30% of atypical plasma cells. Immunoelectrophoresis showed IgG (λ type. From these findings this case was diagnosed as synchronous double cancer, multiple myeloma and gastric cancer. As multiple myeloma lacked in symptoms, operation for the gastric cancer was preceded. Laparotomy was performed and no peritoneal dissemination was found.
Subtotal gastrectomy with R2 lymph node dissection was performed. The resected spesimen revealed an elevated cancer lesion of the stomach mesuring 3×2.8cm. Histological examination revealed moderately differentiated adenocartinoma invaded the serosa of the stomach. Post-operative course was uneventful. The patient was discharged from the hospital on the 30th day after surgery, and is followed on an ambulant basis.
