A 73-year-old woman presented with epigastric pain and weight loss. She had a history of non-insulin-dependent diabetes mellitus, arterial hypertension, and elevated cholesterol level. She did not report a history of other previous illnesses. She was unaware of a family history of cancer. Abdominal examination did not detect any marked change. All laboratory data were normal, including hemoglobin of 12.2 g/dL. Serum amylase was 50 U/mL, serum CEA was 1.3 ng/mL, and CA19-9 was 12.7 U/mL. Upper gastrointestinal endoscopy revealed an ulcerated and infiltrative (Borrmann III) lesion measuring 4 cm in the lesser curvature extending to the posterior wall of the antrum and body region. Biopsy revealed a moderately differentiated adenocarcinoma. Preoperative evaluation using computed tomography (CT) scan showed a well-defined 8 cm × 5 cm solid and cystic tumor in the body and tail of the pancreas in close contact to the posterior wall of the gastric body. No sign of infiltration in the surrounding tissue was detected. No liver mass, peripancreatic lymph node swelling, or free peritoneal fluid was detected.