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Diagnosctic Points of Endoscopic Ultrasonographic Findings in Scirrhous Gastric Cancer Yoko Murata 1 , Takuji Yamasaki 2 , Yoichi Kitamura 3 , Masakazu Yamamoto 3 , Hisao Tajiri 2,4 1Murata Clinic, Tokyo 2Department of Endoscopy, The Jikei University School of Medicine, Tokyo 3Institute of Gastroenterology, Tokyo Women's Medical University, Tokyo 4Department of Gastroenterology and Hepatology, The Jikei University School of Medicine, Tokyo Keyword: スキルス胃癌 , linitis plastica , 超音波内視鏡診断 , 超音波内視鏡下生検 , EUS-FNA pp.457-467
Published Date 2010/4/25
DOI https://doi.org/10.11477/mf.1403101882
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 The feature of Scirrhous gastric cancer is thickening of the gastric wall.Differential diagnoses of diffuse large gastric folds are Menetrier's disease or hypertrophic gastritis, gastric ulcer or scar, Non Hodgkin lymphoma, rare cases of Abrant pancreas, Syphilis, Cytomegalovirous gastritis so on. These diseases involve thickening of the mucosa and the submucosa, However, Scirrhous type of gastric cancer is thickening of the whole gastric wall, especially in the proper muscle. In the final pathogical diagnosis it was difficult to get malignant cells in Scirrhous. cancer, but endoscopic ultrasonography-guided fine-needle cytology(EUS-FNA)and deep biopsy under EUS has been applied in achieving diagnosis of this tissue.


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

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