A Case Report of Early Gastric Cancer with Duodenal Extension

Yoshifumi Nakayama, Koji Kadowaki, Keiji Hirata, Aiichirou Higure, Naoki Nagata and Hideaki Itoh

Department of Surgery 1, University of Occupational and Environmental Health

We report a rare case of early gastric cancer with duodenal extension. A 56-year-old woman found to have epigastric discomfort in February, 1998, was further found in gastrointestinal endoscopic examination to have a wide, continuous, granulous polypoid lesion from the prepyloric area to the duodenal bulbus. Then, she admitted our hospital. Reexamination via gastrointestinal endoscopy and biopsy upon admission showed adenocarcinoma in biopsy specimens. We then conducted gastrectomy with partial duodenectomy. Macroscopically, the resected specimen showed a I+IIa+IIc lesion which is 4 cm long in the stomach and a I+IIa lesion 3.8 cm long in the duodenal bulbus. The lesion consisted of well-differentiated adenocarcinoma partially mixed with moderately differentiated adenocarcinoma. Duodenal extension was almostly to the mucosa. Lymph node metastasis was not found. It is thought to be important to decide the safty resected line and sufficient area of the lymph nodes dissection.

Key words
early gastric cancer, duodenal extension, treatment

Reprint requests
Yoshifumi Nakayama Department of Surgery I, University of Occupational and Environmental Health
1-1 Iseigaoka, Yahata-nishi-ku, Kita-kyushu, 807-8555 JAPAN

Accepted
December 19, 2003

To read the PDF file you will need Abobe Reader installed on your computer.