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  • Title: [A case of a perforated duodenal ulcer coincident with a gastric carcinoma].
    Author: Tsuno K, Hataya K, Satou T, Satou Y, Shibusawa M, Koike T, Ishii J, Fujii K.
    Journal: Gan No Rinsho; 1988 Jun; 34(7):927-31. PubMed ID: 2840526.
    Abstract:
    A 44-year-old male patient under treatment for a duodenal ulcer for the past 9 years visited our clinic because of a sudden pain in the epigastric region. He was diagnosed as having a perforated duodenal ulcer, so an emergency laparotomy was performed. In this operation, the coexistence of a gastric carcinoma was clarified, and a subtotal gastrectomy with an R2 dissection was done at the same time. The coexistent gastric carcinoma was localized to a size of 20 x 12 mm within the gastric proper mucosa. The infiltrated range of the cancer was as wide as 120 x 80 mm, extending to the proper tunica muscularis. This case was seen as manifesting a relative early stage of scirrhous carcinoma.
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