A Resected Case of Early Gastric Cancer Invaginated into the Jejunum

Kazuhisa Mikami, Noritoshi Saito, Hiroshi Yasumatsu, Takashi Nakamura, Tsutomu Maeda, Takashi Yokoyama and Kazuto Hara

Department of Surgery, Jouhoku Hospital, Ishikawa Kinrosha Medical Association

We report a rare case of early gastric cancer invaginating into the jejunum. A 88-year-old woman who had been diagnosed with a tumor of the small intestine admitted with anorexia and subsequent body weight loss. Abdominal computed tomography showed a tumor 8.5 cm in diameter in the jejunum and the distal stomach invaginating into the jejunum through the duodenum. Gastrointestinal endoscopy showed a multiple-nodule tumor 10 cm in diameter on the greater curvature of the lower gastric body invaginating into the inferior duodenal angle. The diagnosis was early gastric cancer -Type 0I SM- invaginating into the jejunum, necessitating laparoscopic partial gastrectomy. Histological examination showed well-differentiated tubular adenocarcinoma pT1 (M), ly0, v0, PM (-), DM (-). No report such as our case has been made, as far as we could review.

Key words
invagination, early gastric cancer, jejunum

Reprint requests
Kazuhisa Mikami Department of Surgery, Jouhoku Hospital, Ishikawa Kinrosha Medical Association
20-3 Kyomachi, Kanazawa, 920-0848 JAPAN

Accepted
April 28, 2010

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