A Synchronous Double Cancer of the Multiple Early Gastric Cancer and Advanced Rectal Cancer

Tetsuya Makino, Toshihide Hayashi, Makoto Kikuchi

Department of Surgery, Kanazawa Nishi Hospital

A one-stage radical operation was performed to treat a patient with multiple early gastric cancer and concurrent rectal cancer. The patient, a 56-year-old man, had had a chief complaint of abnormal defecation. A tumor was palpable on digital examination of th rectum, and colonoscopy revealed an advanced stage Borrmann I tumor. The biopsy diagnosis was moderately differentiated adenocarcinoma. In addition, multiple early gastric cancers were detected by preoperative gastroscopy. The patient, who was received total gastrectomy+lymph node dissection and low anterior resection+lymph node dissection, has remained well for 1 year after the operation. Double cancer consisting of gastric cancer and rectal cancer is not rare, but only a few cases of multiple early gastric cancer and rectal cancer have been reported.

Key words
multiple early gastric cancer, advanced rectal cancer, continuous double cancer

Reprint requests
Tetsuya Makino Department of Surgery, Kanazawa Nishi Hospital
Koh 77 Kitamachi, Kanazawa, 920 JAPAN

Accepted
November 11, 1992

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