CASE OF EARLY GASTRIC CANCER WITH NODULAR GASTRITIS

• Published in: Digestive endoscopy Vol. 16; no. 1; pp. 39 - 43
• Main Authors: Kamada, Tomoari, Haruma, Ken, Sugiu, Kuniaki, Nagashima, Yuichi, Qian, Dong Mei, Koga, Hideki, Takeda, Masaharu, Kusunoki, Hiroaki, Honda, Keisuke, Fujimura, Yoshinori, Tsunoda, Tsukasa, Sadahira, Yoshito
• Format: Journal Article
• Language: English
• Published: Melbourne, Australia Blackwell Science Pty 01.01.2004
• Subjects: gastric cancer; Helicobacter pylori; nodular gastritis
• ISSN: 0915-5635; 1443-1661
• DOI: 10.1111/j.1443-1661.2004.00297.x

A case of depressed early gastric cancer with nodular gastritis is described. A 47‐year‐old Japanese man was referred to our hospital and admitted for surgical treatment of gastric cancer. Barium upper gastrointestinal study and endoscopy examination showed a 4.5 × 3.0 cm depressed lesion with a deep central ulceration in the anterior wall of the lower corpus. An unusual miliary pattern resembling ‘goose flesh’ was observed endoscopically in the antrum. Biopsy specimens from the tumor showed poorly differentiated adenocarcinoma, and specimens from the antrum showed many lymphoid follicles with a germinal center. Immunoglobulin G antibody and histological tests (Giemsa stain) for Helicobacter pylori were both positive. Early gastric cancer with nodular gastritis was diagnosed and a subtotal gastrectomy was performed. Histological examination of the resected specimen showed a stage I tumor infiltrating a poorly differentiated adenocarcinoma with a depressed lesion in the corpus (type 0 IIc + III) and nodular gastritis in the antrum. The patient is doing well 1 year after surgery.