Early gastric carcinoma associated with amyloidosis: a case report

We have experienced a case of early gastric carcinoma associated with amyloidosis. The patient was a 63-year-old woman diagnosed as having early gastric cancer type 0 Ila at the anterior wall on the greater curvature of the antrum, and multiple polypoid lesions on the antrum to the body of the stomach. We performed total gastrectomy, and rho-Roux-en-Y reconstruction. The tumor lesion was recognized at the anterior wall of the prepylorus, and the multiple polypoid lesions which were composed of amyloid masses were recognized on the whole stomach. The histological findings of the biopsy specimens from the rectum and the skin showed no amyloid-deposit. The urine examination was negative for a Bence-Jones protein reaction. This was a rare case of early gastric carcinoma associated with stomach amyloidosis, apparently confined to the stomach.