7歳5ヵ月男児にみられた胃癌症例の経験及び本邦15歳以下小児胃癌の統計的観察

概要

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Carcinoma of the stomach in childhood is extremely rare. Only 6 cases under 10 years of age have been reported in Japan. This paper reports a case of carcinoma of the stomach in a 7-year and 5-month-old boy. This is the youngest case in so-called adult type carcinoma of the stomach in Japan. The tumor located mainly in the cardial region of the stomach. Total gastrectomy with splenectomy and combined resection of the pancreas tail was performed. Reconstruction of the alimentary tract was achieved by esophago-jejunostomy with Roux-Y in retro-colic fashion. Histological study of the specimen demonstrated anaplastic adenocarcinoma. A literal review collected 62 cases of carcinoma of the stomach in childhood under 15 years of age reported in Japan. When there is a persistent gastro-intestinal symptom like epigastralgia and vomiting in childhood, it is essential to consider the possibility of gastric malignancy regardless of the age of the patient.
日本小児外科学会の論文
1982-10-20