Abstract

Dominant presenting symptoms less associated with the primary disease sometimes have led the clinicians to the misdiagnoses. This paper is to report such three examples in which the stomach cancers were found to be primary in the postmortem examinations. Case 1, 29 years old male, was presented with the scapula mass of 6 months duration which was turned out to be metastatic nature. Case 2 was a 25 years old female who was admitted to the hospital with marked ascites and diagnosed as tuberculous peritonitis. This patient had largely serosal dissemination. Case 3 was a 50 years old man who came in with severe amebic colitis which interfered the correct diagnosis. The first two cases of ours, which may be classified as penetrating (or ulcerating) type according to Stout, were without or with insignificant. ulcer formation on the gastric mucosa. Both retreated more exophytic growth of the tumor and presented diagnostic problems. Bony metastasis of stomach cancer observed in Case 1 is reported to be relatively rare.