8歳3か月男児の早期胃癌の1例

概要

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A physically retarded eight-year and three-old boy presented with vomiting and diarrhea. He had complained of anorexia since his infancy. Administration of thyroid hormone for hypothyroidism, gastrostomy for feeding and fundplication for gastroesophageal reflux had been performed. A protruding tumor of the anterior wall of the stomach, at the site of former gastrostomy, was discoverd unexpectedly by upper GI series. Endoscopic biopsy of the tumor revealed gastric cancer. Partial gastrectomy with complete removal of group I lymphnodes were performed. The operative finding showed neither peritoneal dissemination nor hepatic metastasis. The skin of the abdominal wall around the gastrostomy was excised additionally. Histological study of the specimen demonstrated moderately differentiated tubular adenocarcinoma with limited invasion into the mucosa. The surgical margin was carcinoma-free. Two years postoperatively the boy is alive and well without any evidence of recurrence. Gastric cancer in children under 15 years of age is extremely rare. Sixty-four cases were collected among Japanese literatures. All 64 cases had advanced cancer and died of cancer. This is an exceptional case with early cancer and survival.
日本小児外科学会の論文
1986-02-20