白血病に合併した胃癌の2例

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  • Two Cases of Gastrectomy for Gastric Cancer with Leukemia.

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We report two rare cases of gastrectomy for gastric cancer with leukemia. Patient 1, a 51-year-old man, was pointed out having chronic myelocytic leukemia (CML) when he was addmited to the hospital for operation of early gastric cancer. After the therapy for CML, during a chronic phase, we performed a gastrectomy. Patient 2, a 72-year-old man, was pointed out having advanced gastric cancer when he was admitted to the hospital for chemotherapy for recurrence of acute myelocytic leukemia (AML). Because the recurrence was in the early phase and no bleeding tendency was revealed, a gastrectomy was preceded to the treatment for AML. Postoperative courese was uneventful without any complication in both cases Generally, operation is possible for patients in a stage of remmision of AML, and those in a chronic phase of CML, especialy in the early phase of recurrent AML like case 2. In the case of gastric cancer with leukemia, an application and a timing for operation should be seriously determined.

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