[A case report of a primary @entity957 of the @entity1819 associated with XXXX (author's transl)].

@entity1 @entity788 @entity6017 @entity6283 @entity1819 @entity5 @entity4 @entity957 @entity425 @entity420 @entity158 @entity4841 @entity9153 @entity221 @entity204
A 54-yr-old @entity1 was admitted to Hokkaido University Hospital, complaining of @entity221 , multiple @entity4841 , @entity4 erythema and face and @entity425 of extremities during the last 2 months. He was diagnosed as @entity6017 by acceleration of ESR, elevation of GOT, @entity6283 , @entity9153 , aldolase, moderate increases of collagen fibers in biopsy specimen of skin and his clinical signs. Although stools were positive for occult blood, the routine radiographic examination failed to detect the bleeding site in the upper GI. tract. However, in the double contrast picture of the @entity1819 , a very fine abnormal linear shadow was observed at the upper corpus of the lesser curvature. This linear shadow was a margin of the @entity5 , retrospectively. About 4 months later, abnormal @entity158 occurred and a mass was palpable in the left lumbar region, suggesting a @entity788 . He was operated on excising the @entity5 , but was performed only exploratory laparotomy because of the presence of intra-abdominal metastases. @entity204 occurred 40 days after the operation and necropsy was done. The gross anatomical findings of the abdomen showed a @entity5 as large as an @entity1 's head and its metastases to pancreas, lymph nodes, and greater and lesser omentum. Esophageal mucosa including esophagocardiac junction was intact. Histological examination of the intragastric @entity5 revealed a typical @entity957 with keratinization. According to the absence of the components of @entity420 and squamous metaplastic gastric mucosa of non-cancerous areas in the @entity1819 , it seemed likely to be a @entity957 . It was unknown about the precedence between the @entity5 and @entity6017 . There have been 11 cases of primary @entity957 in the world literature since 1968, but this is the first case report of coexistence of these two diseases.
