A CASE OF SYNCHRONUS EARLY DOUBLE CARCINOMA OF THE STOMACH AND PAPILLA OF VATER

A 52-year-old man visited our hospital, complaining of epigastric pain. ERCP, which was performed under a suspicion of acute pancreatitis due to his alcoholophilia, and gastrcendoscopy led to a preoperative diagnosis of synchronous early double carcinoma of the stomach and papilla of Vater. Pancreaticoduodenectomy was carried out. Carcinoma of the papilla of Vater was measured 1.1×1.0cm in size and histopathologically diagnosed as a moderatelly differentiated tubullar adenocarcinoma which slightly invaded the Oddi's muscle. Gastric cancer located on the gastric angle was 0.3×0.2cm in size. It was a well differentiated tubullar adenocarcinoma of type IIc limited to the mucosal layer. Any regional lymphnode metastasis was not found.