小児胃癌の 2 例  [in Japanese] Two Cases of Gastric Cancer During Childhood  [in Japanese]

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Abstract

小児胃癌はまれで, 進行癌であることが多い.症例1は11歳女児.吐血にて胃内視鏡検査を受け, 胃癌と診断された.胃体下部から幽門部にかけて全周性の3型腫瘍と腹膜播種を認め, Stage IV, 印環細胞癌であった.胃全摘, 膵体尾部脾合併切除を行い, 化学療法を施行したが, 癌性腹膜炎にて術後2ヵ月で死亡した.症例2は10歳男児.嘔気, 貧血の精査にて胃癌を指摘された.胃体上部小弯側に3型を認め, Stage III A, 低分化型腺癌で胃全摘術, D2郭清を施行した.現在術後4ヵ月で再発の徴候はない.

Gastric cancer during childhood is rare, and most cases are advanced. Case 1 in an 11-year-old girl presented with hematemesis. A gastroscopic examination was performed, and a pathological diagnosis of signet ring cell carcinoma was made. Laparotomy revealed a type 3 tumor in the body and pyloric antrum with peritoneal carcinomatosis, Stage IV. Total gastrectomy with splenectomy and resection of the tail of the pancreas was performed. Although she received chemotherpy, she died due to carcinomatosa peritonitis 2 months postoperatively. Case 2 is a 10-year-old boy, who was diagnosed with gastric cancer during investigations for anemia and nausea. Laparotomy revealed a type 3 tumor in the lesser curvature of the upper body, Stage III A. Total gastrectomy with D2 dissection was performed. A histopathology showed poorly differentiated adenocarcinoma. He is alive and well 4 months postoperatively.

Journal

  • Journal of the Japanese Society of Pediatric Surgeons

    Journal of the Japanese Society of Pediatric Surgeons 36(2), 338-341, 2000

    The Japanese Society of Pediatric Surgeons

References:  17

Codes

  • NII Article ID (NAID)
    110002128654
  • NII NACSIS-CAT ID (NCID)
    AN00192281
  • Text Lang
    JPN
  • Article Type
    NOT
  • ISSN
    0288-609X
  • Data Source
    CJP  NII-ELS  J-STAGE 
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