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Differential Diagnosis of Eosinophilic Gastroenteritis from Scirrhous Carcinoma of the Stomach Toshiki Kawabata 1 , Tatsuo Tanaka 2 , Shinichiro Miyazaki 1 , Ichirota Iino 1 , Takashi Uehara 1 , Tomohiko Setoguchi 1 , Hirotoshi Kikuchi 1 , Masayoshi Yamamoto 1 , Kenji Kondo 1 , Megumi Baba 1 , Manabu Ohta 1 , Kinji Kamiya 1 , Toshio Nakamura 1 , Hiroyuki Konno 1 1Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan 2Endoscopic and Photodynamic Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan Keyword: 好酸球性胃腸炎 , スキルス胃癌 , eosinophilic gastrointestinal disorders pp.544-548
Published Date 2010/4/25
DOI https://doi.org/10.11477/mf.1403101898
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 Eosinophilic gastroenteritis displays many kinds of symptoms and findings according to the region examined and the degree of eosinophil infiltration. We sometimes can not make a definite diagnosis, because it displays no specific symptoms and findings. We must evaluate these findings very carefully to differentiate between scirrhous carcinoma of the stomach and eosinophilic gastroenteritis especially when eosinophil infiltration is predominant in the mucosal layer and muscle layer. It is necessary to know and recognize eosinophilic gastroenteritis and to list it in the differential diagnosis when a patient with abdominal symptoms has a history of allergy disease and, or increase of eosinophil in peripheral blood. Predominant mucosal layer disease can be diagnosed by taking some biopsies from the gastric mucosa, but predominant muscle and subserosal layer disease may need full-thickness biopsy or an ascites sample.


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

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