[A case report of sarcoid reactions with hepatocellular carcinoma and two early gastric carcinomas].

Non-caseating epithelioid-cell granulomas named "sarcoid reactions" may occur rarely in regional lymph nodes of a malignant tumor. In this article, sarcoid reactions in a patient with hepatocellular carcinoma and two early gastric carcinomas are reported. A 78-year-old woman followed with a Hbs antigen positive liver cirrhosis from 1980 was admitted to our hospital to receive the operation for two early gastric carcinomas and hepatocellular carcinoma. Subsegmentectomy of the liver and subtotal gastrectomy were performed. Histologic examination of dissected lymph nodes revealed sarcoid reactions. There have been no reports regarding the association between sarcoid reactions and hepatocellular carcinoma combining early gastric carcinoma.