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Early-stage Linitis Plastica Type Gastric Cancer for the Purpose of Radiological Detection Toshifumi Yoshida 1 , Yasumasa Baba 1 , Tetsuro Yamasato 1 , Ryuji Nagahama 1 , Hirotaka Nakashima 1 , Atsushi Ishino 1 , Yoshiki Ono 2 1Foundation for Detection of Early Gastric Carcinoma, Tokyo 2Tokyo Healthservice Association, Tokyo Keyword: linitis plastica型胃癌 , 未分化型胃癌 , 前LP型癌 , 小ニッシェ , 微小Ⅲ型 pp.775-785
Published Date 2008/4/25
DOI https://doi.org/10.11477/mf.1403101364
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 Early-stage linitis plastica type gastric cancer is manifested as undifferentiated early cancer present in the fundic gland mucosa. Clinically, irrespective of the presence or absence of ulcer scars, it implies undifferentiated gastric cancer about 1 cm in size with maximum infiltration into the submucosal layer. In X-ray based diagnosis, case should be taken not to overlook a small niche with irregular mucosal folds easily identifiable under fluoroscopy, as well as typical images of undifferentiated 0 Ⅱc cancer exhibiting clear demarcation of a depressed lesion and granular shadows in different sizes. In particular, a lesion identified as a small niche (minute 0 Ⅲ) is characterized by infiltration into the submucosal layer despite its small size, exhibiting the morphological features of pre-linitis plastica cancer defined by Nakamura.


Copyright © 2008, Igaku-Shoin Ltd. All rights reserved.

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

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