Differential Diagnosis between Benignancy and Malignancy of Gastric Ulcer Tadahiko Fuchigami 1 , Akinori Iwashita 2 , Masahiko Hirakawa 1 1Institute of Gastroenterology, Matsuyama Red Cross Hospital Keyword: 胃潰瘍 , 胃癌 , Ⅲ型胃癌 , 内視鏡診断 , 鑑別診断 pp.985-992
Published Date 1991/9/25
DOI https://doi.org/10.11477/mf.1403102630
  • Abstract
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 Forty seven cases of early gastric cancer, diagnosed as benign ulcer at initial endoscopy, were reviewed, seeking for clues to better diagnosis of type Ⅲ gastric cancer. These cases comprised 3.2% of the depressed type gastric cancers resected at our hospital from April 1980 to March 1991. On the review, 36 cases (76%) were diagnosed as cancer or being doubtful about their benignancy, while the rest remained not detectable of malignancy. In 9 cases of the latter ones, however, Ⅱc portions became clear in a short period before operation, and were diagnosed correctly. It is suggested that the endoscopic or radiographic diagnosis of type Ⅲ gastric cancer is not possible, unless the lesions demonstrate type Ⅲ+Ⅱc features in their clinical course.

Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.


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