Tsuno K, Hataya K, Satou T, Satou Y, Shibusawa M, Koike T, Ishii J, Fujii K
Dept. of Surgery, Showa Univ. School of Med.
Gan No Rinsho. 1988 Jun;34(7):927-31.
A 44-year-old male patient under treatment for a duodenal ulcer for the past 9 years visited our clinic because of a sudden pain in the epigastric region. He was diagnosed as having a perforated duodenal ulcer, so an emergency laparotomy was performed. In this operation, the coexistence of a gastric carcinoma was clarified, and a subtotal gastrectomy with an R2 dissection was done at the same time. The coexistent gastric carcinoma was localized to a size of 20 x 12 mm within the gastric proper mucosa. The infiltrated range of the cancer was as wide as 120 x 80 mm, extending to the proper tunica muscularis. This case was seen as manifesting a relative early stage of scirrhous carcinoma.
一名44岁男性患者，过去9年一直在接受十二指肠溃疡治疗，因上腹部突然疼痛前来我院就诊。他被诊断为十二指肠溃疡穿孔，因此进行了急诊剖腹手术。在这次手术中，明确发现并存胃癌，同时进行了R2根治性次全胃切除术。并存的胃癌局限于胃固有黏膜内，大小为20×12mm。癌浸润范围达120×80mm，延伸至固有肌层。该病例被视为表现为相对早期的硬癌。
