PMC7527680_01
Upper gastrointestinal endoscopy revealed five lesions in the stomach: (1) first in the lower part of the stomach, (2) second in the lower anterior wall of the stomach, (3) and (4) third and fourth on the rear wall of the middle part of the stomach, and (5) fifth lesion in the lesser curvature of the stomach (no picture).
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An upper gastrointestinal endoscopy showed five lesions in the stomach:the first lesion was in the lower part of the stomach, the second on the lower anterior wall of the stomach, the third and fourth on the rear wall of the middle part of the stomach, and the fifth on the lesser curvature of the stomach [Fig. 1].
Representative images from the abdominal CT scan; 2a and 2b show two lesions in the lower stomach, and 2c shows one on the enlarged lymph node of the lesser curvature.
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Abdominal CT showed two lesions in the lower stomach and one on the enlarged lymph node of the lesser curvature [Fig. 2a-c].
The pathological diagnosis of the specimen confirmed multiple gastric cancer. (1) The lesion on the lower major stomach was type 1 (T1a), and (2) the lesion on the lower anterior wall of the stomach was type 1 (T1b1). (3) and (4) The lesions on the rear wall of the middle part of the stomach were considered separate lesions before surgery, but they were one continuous lesion and were type 0-II a and 0-II c. In addition, (5) the lesion on the lesser curvature of the stomach was diagnosed as a tubular adenoma using preoperative biopsy, but it was a well-differentiated tubular adenocarcinoma on the pathological diagnosis of the specimen.
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The pathological diagnosis of the specimen confirmed multiple gastric cancers [Fig. 3, Fig. 4].