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症例は70歳の男性.上腹部痛の精査にて胃角部に広範な胃癌(O IIa)病変と胃体上部後壁に胃潰瘍(H1 stage)を認め,さらに白血球数の増多(20,500/μl, Lymph: 78%)の精査によりB細胞型慢性リンパ性白血病(CLL)と診断された. CLLは貧血や血小板数の減少がみられないことより経過観察とし,胃は潰瘍部の切除を含め胃全摘除術を施行した.切除標本にて胃癌はpor 2+sig,Continue Reading