Abstract
Recently clinical cases of double cancer have been increasingly reported, particularly in a combination of cancers of the gastrointestinal organ and other organ. This time, we experienced a case of rare double cancer in a combination of cancer of the bile duct with multiple gastric cancer which were both in an early stage.
A 72-year-old man presenting with obstructive jaunice was found having a full circumferantial torous lesion in the choledochus terminal (Bi). The cytologic examination of bile showed it to be Class 5. In addition, a gastroscopic examination revealed two lesion of type IIa and one lesion of type IIa+IIc. With a diagnosis of double cancer in combination of the bile duct cancer and multiple early gastric cancer, a pancreatoduodenectomy was carried out. The removed specimens revealed that, all of the bile duct cancer and three gastric cancers were of early cancees which remained in the mucous membrane. Since such cases of double cancers may increase more and more in the future, it was considered necessary to perform the preoperative evaluation keeping a possible double cancer in mind.
