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Scirrhous Cancer without Identification of Cancer Cells on the Biopsy Specimens, Report of a Case Makoto Hojo 1 , Tsutomu Hamada 1 , Kenji Kondo 1 , Takaaki Ikari 1 , Shiori Takashima 1 , Tomoo Watanabe 2 , Hideki Orikasa 3 1Department of Internal Medicine, Tobu Chiiki Hospital, Tokyo 2Department of Surgery, Tobu Chiiki Hospital, Tokyo 3Department of Pathology, Tobu Chiiki Hospital, Tokyo Keyword: スキルス胃癌 , 巨大ひだ , 原発巣 , 生検 pp.562-566
Published Date 2010/4/25
DOI https://doi.org/10.11477/mf.1403101902
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 A 38-year-old man was admitted to our hospital with complaints of hunger pain and weight loss for 3 months. On endoscopic and X-ray examination, thick and serpentine folds were recognized at the gastric body and fornix, but, on the other hand, the gastric wall stretched well under sufficient air pressure. Because of abnormal enlarged gastric folds, scirrhous type cancer was suspected, but the primary lesion could not be detected. Many biopsy specimens were taken from multiple erosions on the enlarged folds but cancer cells couldn’t be identified. The patient, macroscopically diagnosed as scirrhous cancer was operated on and the resected specimen revealed diffuse infiltration of the gastric wall, linitis plastica, and a tiny depressed primary lesion near the cardia.

 We concluded that the findings of abnormal gastric folds should have been considered scirrhous type of carcinoma even though there was no rigidity of the gastric wall that could be detected endoscopically and radiologically.


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

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