[Case of multiple (at least 28 lesions) gastric intramural metastases from gastric cancer].
A 76-year-old man was admitted for treatment of gastric cancer that causing anorexia. Endoscopy showed the stenosis in the antrum of the stomach and multiple small nodules with erosion from the upper body to the corpus of the stomach. Total gastrectomy with Roux-en-Y reconstruction was performed. On the resected specimen, there were at least 28 nodules with erosion in the submucosal layer of the entire stomach. The lesions had no continuity with one another and were the same histological type, poorly differentiated adenocarcinoma. We diagnosed these lesions as intramural metastases of gastric cancer.
Okamoto
Ken
K
Department of Tumor Surgery, Kochi University School of Medicine, Japan.
Kobayashi
Michiya
M
Ichikawa
Kengo
K
Namikawa
Tsutomu
T
Okabayashi
Takehiro
T
Sugimoto
Takeki
T
Araki
Keijiro
K
D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery; D000368:Aged; D017809:Fatal Outcome; D005743:Gastrectomy / Q000379:methods; D005753:Gastric Mucosa / Q000473:pathology; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery