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Scrutinized Examination of Colonic Cancer Massively Invading the Submucosa―An Important Point in the Diagnosis of Colonic Neoplasia Using Barium Enema Examination Sumio Tsuda 1 , Yosuke Kikuchi 1 , Toshiyuki Matsui 1 , Tsuneyoshi Yao 1 , Akinori Iwashita 3 1Department of Gastroenterology, Fukuoka University, Chikushi Hospital 3Department of Pathology, Fukuoka University, Chikushi Hospital Keyword: 注腸 X 線検査 , 精密検査 , 早期大腸癌 , sm massive癌 , 深達度診断 pp.916-928
Published Date 2003/5/25
DOI https://doi.org/10.11477/mf.1403100855
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 According to the medical literature, findings helpful for diagnosis of the depth of invasion of colonic cancer were grossly classified under three headings. They were (1) findings of the en face view such as size, morphologic features and surface structure, (2) findings of the lateral view such as lateral deformity and distinct rigidity, and (3) findings of the surrounding area such as convergency of folds and translucency around the tumor. Recently, it has been required to appropriately diagnose cancer massively invading the submucosa (sm massive cancer). For this purpose, methods of scrutinized examination to correctly diagnose sm massive cancer such as double contrast study, thin barium coating method, and compression study were described. Above all, it was emphasized that, during double contrast study, observaton of the lesion from various directions including the en face and lateral view with varying amounts of air is necessary.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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