RESUMO
Se presenta un caso de hemorragia digestiva aguda en una mujer de mediana edad, el cual condujo al diagnostico de mieloma multiple con compromiso gatrico, bajo la forma de una gran lesion ulcerada. Los hallazgos endoscopicos, operatorios y anatomopatologicos son comentados, asi como la escasa frecuencia de esta patologia
Assuntos
Adulto , Humanos , Feminino , Hemorragia Gastrointestinal , Plasmocitoma , Neoplasias GástricasRESUMO
We review eight cases of early gastric cancer which occurred in five female and three male patients. In seven patients the main complaint was epigastric pain and in one melena. In seven of the eight cases, endoscopic diagnosis was established on the first examination and confirmed by biopsy. Types of early gastric cancer observed were: type I, one case; IIa, one case; IIc three cases: III, two cases and type III + IIc, one case. In five cases the neoplasia was located in the antrum, two in the pre-pyloric region, two along the greater curvature and one in the anterior wall. Three cases were located in the body of the stomach, two in the lower third of the lesser curvature and one in the upper third of the greater curvature. From the histopathologic standpoint four cases were differentiated adenocarcinomas, three undifferentiated adenocarcinomas and one case mucus carcinoma. In no case did we encounter regional lymph node metastases. Postoperative survival rates at the present time varies between one and five years.