Abstract
A 65-year-old man was pointed out anemia at elsewhere and reffered to the hospital. On admission Hb level was 8.5g/dl, fluoroscopic and fiberscopic examinations showed 3 abnormal areas, which were: (1) a protruded mass like the Borrmann 1 type carcinoma measuring above 8cm, on the posterior wall of the angle; (2) a protruded mass like IIa-aggregating lesion on the lesser curvature of the antrum; and a protruded mass consistent with type IIc on the greater curvature of the antrum. The biosy results of these lesions noted well differetiated adenocarcinoma. Under a diagnosis of multiple gastric cancer, a subtotal gastrectomy was performed. Histologically, lesion (1) was carcinoma in the tubullo-villous adenoma; lesion (2) was carcinoma in the tubular adenoma; and lesion (3) was early carcinoma. All three lesions were parted with normal gastric mucosa, and invaded until the mucosal layer. Though villous tumor of the stomach is relatively rare comparing with another polyps of the stomach, the cancer change can occur in a high percentage. So its treatment should be the same as that of the cancer.
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