Ⅲ+Ⅱb Type Early Gastric Cancer, Report of a Case Akimichi Chonan 1 , Satoru Shibuki 2 , Fukuji Mochizuki 1 1Department of Gastroenterology, Sendai City Medical Center 2Cancer Detection Cancer of Miyagi Cancer Society Keyword: Ⅲ+Ⅱb型早期胃癌 , Ⅲ型早期胃癌 , X線診断 , 内視鏡診断 pp.1029-1033
Published Date 1991/9/25
DOI https://doi.org/10.11477/mf.1403102639
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 During a mass survey of the stomach, a 36-year-old male was found to have a niche at th egastric angle. Endoscopic examination was performed and an ulceration was detected at the anterior wall of the same region. Biopsy specimens which were obtained from this lesion showed it was a poorly differentiated adenocarcinoma. The patient was admitted to our hospital. Endoscopically, there was an ulceration surrounded by irregular redness at the gastric angle. Wide-spread light discoloration was shown at the anterior side of this lesion. Radiographically, a small and slight barium fleck next to the thick niche was shown surrounded by a rough and irregular area. And the pattern of the area on the anterior side of this lesion was coarse and unclear. We diagnosed the lesion as being Ⅲ+Ⅱb type early gastric cancer. Distal gastrectomy was performed. In the resected specimen, there was Ⅲ type gastric cancer, but we couldn't identify the Ⅱb part. Pathologically, the depth of the ulcer was Ul-Ⅱ, and cancer cell had invaded as far as the upper part of the submucosal layer at the margin of the ulcer.

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