残胃内分泌細胞癌の1例

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  • A case of endocrine carcinoma of the remnant stomach.

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A 64-year-old man, who had undergone a distal gastrectomy for duodenal ulcer at the age of 37, was admitted to the hospital because of sense of fullness at the epigastrium and epigastralgia. A Borrmann III type tumor was revealed by an upper gastrointestinal series and a gastrofiberscopy. Palliative total gastrectomy was performed because marked metastases of lymph node around the para-aortic resion were observed. Histological results showed atypical cells with small or medium sized nuclei which infiltrated into clusters and sheets. Tumor cells had argyrophilic granules and stained by synaptophisin, chromogranin and gastrin stainings immunohistologicaly. In this way, the tumor was diagnosed as endocrine carcinoma. Four months later, the patient experienced multiple liver metastasis and died of cancer one year after the operation. Endocrine carcinoma of the stomach is rare, especially that of the remnant stomach.

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