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Ultrasonography (US) revealed an irregular hypoechoic mass measuring about 58\u2009mm\u2009\u00d7\u200950\u2009mm\u2009\u00d7\u200945\u2009mm under the left lobe of the liver. Magnetic resonance imaging (MRI) was performed to verify the irregular mass with T1\u2010 and T2\u2010 weighted images between the left lobe of liver and the stomach. At laparotomy, the well\u2010circumscribed neoplasm was found in the lesser omentum, and the fundus of the neoplasm was located in the root of left gastric artery. Intraoperative microscopic evaluation of frozen sections revealed malignancy of the lesser omentum. Resection of the neoplasm was performed, and the combined resection of the vagal nerve was also performed for the partial adhesion. Pyloroplasty was performed for avoiding delayed gastric emptying caused by combined resection of vagal nerve. The lymph nodes dissection at lesser curvature and right cardia was also performed with a negative result. Based on the histological findings, the final diagnosis of primary lesser omental SCC was confirmed. 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