A 76-year-old man without symptoms underwent upper gastrointestinal endoscopy for a health check-up. This examination revealed an elevated lesion on the lesser curvature in the antrum of the stomach. Three years and seven months later, follow-up endoscopic examination of the lesion showed no obvious change. Five years and three months after the first examination, the lesion had enlarged and two additional lesions were detected. One arose on the greater curvature in the antrum, and the other on the greater curvature in the angle. Both were Yamada type II polypoid lesions. Six years and seven months after the first examination, all three lesions had enlarged, and they were resected endoscopically using the strip biopsy technique. Based on the pathological findings, we diagnosed two gastric adenomas and one early gastric cancer (type 0 I)