title: [Case of early antral gastric cancer diagnosed during follow up of pyloric stenosis by the gastro-duodenal ulcer].
abstract: A 65-year-old man was admitted to our hospital with nausea, vomiting and appetite loss. First upper endoscopic examination and X-ray examination showed a peptic ulcer and a pyloric stenosis. Fiberscope could not go through the pyloric ring. Computed tomography examination and biopsy showed no evidence of malignancy. Though we considered surgical resection of the stenosis at first, he could eat a staple food with therapy of proton pump inhibitor. So we followed up with upper endoscopic examinations. Second, third and forth upper endoscopic examinations showed no evidence of malignancy. Fifth upper endoscopic examination showed an ulcer scar on the pyloric ring and a 0-IIc carcinoma in the antral greater curvature. Distal gastrectomy with D2 lymph node dissection and B-II reconstruction. Pathologically, a mucosal carcinoma with no lymph node metastasis and U1-III peptic ulcer were diagnosed.
authors.forename: Akira
authors.initials: A
authors.lastname: Kabashima
authors.forename: Dai
authors.initials: D
authors.lastname: Kitagawa
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Nakamura
authors.forename: Naoko
authors.initials: N
authors.lastname: Kondou
authors.forename: Fumihiro
authors.initials: F
authors.lastname: Shoji
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Hasegawa
authors.forename: Seiichi
authors.initials: S
authors.lastname: Teramoto
authors.forename: Satoru
authors.initials: S
authors.lastname: Funahashi
authors.forename: Youichi
authors.initials: Y
authors.lastname: Ikeda
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Saeki
authors.forename: Eiji
authors.initials: E
authors.lastname: Oki
authors.forename: Masaru
authors.initials: M
authors.lastname: Morita
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Ikeda
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Maehara
mesh_terms: D000368:Aged; D002277:Carcinoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D042241:Early Diagnosis; D005500:Follow-Up Studies; D005743:Gastrectomy; D005773:Gastroscopy; D006801:Humans; D033162:Incidental Findings; D008197:Lymph Node Excision; D008297:Male; D009367:Neoplasm Staging; D010437:Peptic Ulcer / Q000150:complications* / Q000175:diagnosis; D011706:Pyloric Antrum; D011707:Pyloric Stenosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013274:Stomach Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome