A Case of Early Gastric Cancer with Sarcoid Reaction in the Regional Lymph Nodes

Hiroshi Tanabe, Naoki Imai, Susumu Watanabe, Nobuyasu Kano, Kuniyasu Simokawa¹⁾, Tuneko Ikeda¹⁾

Department of Surgery, Kizawa General Hospital
Department of Pathology, Gifu University School of Medicine¹⁾

A case of eary gastric cancer with sarcoid reaction observed in the regional lymph nodes is reported. A 53-year-old man was admitted to our hospital because of on abnormality in the upper gastrointenstinal tract. Endscopy revealed an irregular-shaped depression at the antrum endoscopic biopsy revealed an adenocartinoma. Abdominal CT examination revealed marked swelling of the common hepatic arterial lymph nodes. Laparotomy revealed swelling of the regional lymph nodes and subtotal gastrectomy with R₂ lymphadenectomy was carried out. Histological examination showed that the gastric cancer was a pooly differentiated adenocartinoma and that the cancer invaded the mucosal layer. Eighteen regional lymph nodes were resected and sarcoid nodules consisting of epitheloid cells and multinuclear giant cells were observed in 10 of them.

Key words
early gastric cancer, regional lymph node, sarcoid reaction

Reprint requests
Hiroshi Tanabe Department of Surgery, Kizawa General Hospital
590 Shimokobi, Kobi-cho, Minokamo, 505 JAPAN

Accepted
January 16, 1991

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