Korean Journal of Gastrointestinal Endoscopy 1996;16(2): 229-235.
증례 : 식도 위장관 ; 위에서 발생한 사중암 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Synchronous Multiple Gastric Cancer ; Quadruple Cancer )
김영수, 신용운, 정석, 권계숙, 이진우, 박기수, 김준미, 홍의수 (Young Soo Kim, Yong Woon Shin, Seok Jeong, Kye Sook Kwon, Jin Woo Lee, Gi Soo Park, Joon Mi Kim and Eui Soo Hong)
Abstract
According to Moertel's classification, synchronous multiple gastric cancer is eonsidered to be a sort of multiple primary cancer, The clinical signifieance of multiplicity in gastric cancer was its location relative to the resection line. Compared with patients with single gastric cancer, multiple gastric cancer were more frequently found among the older men, and they were more commonly found in early gastric cancer. The frequency of multifocality in gastric cancer is 2.2-9% in the world literature reports and is increasing recently, with advance in the diagnostic method of gastric cancer. However, synchronous multiple gastric cancer which has more than four foci is rare. In Korea, there has been only one case reported about quadruple gaatric cancer. Recently, we experienced a case of a 58-year-old male patient with synchronously developed-quadruple gastric cancer on the body of stomach, for whom radical total gastrectomy and esophagojejunostomy was done. All of them were moderately differentiated adenocarcinoma. The mapping about four lesions showed that Borrmanin type III AGC extending to the serosa was placed on the posterior wall of higher body; EGC IIc invading the submucosa, the anterior wall of mid body, EGC III confined to the mucosa, the lesser curvature side of mid to lower body; EGC III localizing to the mucosa, the posterior wall of lower body. So we reported this case with a review of literatures. (Korean J Gastrointest Endosc 16: 229~234, 1996)
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