Abstract
A 76-year-old woman was admitted to our hospital complaints of epigastralgia. Upper gastrointestinal series and endoscopic examinations identified a giant nodular tumor with rough surface extending from anterior wall to greater curvature of the antrum. By using ultrasonography, it was revealed that the serosal side of the proper muscle layer was well preserved and unaffected by the tumor, although the mucosal side of the proper muscle layer was involved. The tumor was diagnosed to be advanced gastric cancer of type I. A subtotal gastrectomy was performed. Pathological findings revealed a well differentiated adenocarcinoma limited within the mucosal layer.
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