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Japanese

Difficulty in Diagnosing Malignancy of Type Ⅱb+Ⅱc (m) Early Gastric Cancer without Biopsy Specimen, Report of a Case Teiko Nakai 1 , Tozo Hosoi 1 , Yasushi Suda 1 1Department of Gastroenterology, Tokyo Metropolitan Tama Cancer Detection Center Keyword: 早期胃癌 , 内視鏡診断 , 生検診断 , 経過観察例 pp.1536-1540
Published Date 1999/11/25
DOI https://doi.org/10.11477/mf.1403102872
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 A 63-year-old woman was admitted to our center because she was diagnosed as having gastric ulcer scar. She was initially diagnosed as having multiple gastric ulcer scars but histological examination of the biopsy specimen showed Group Ⅳ. However, no matter how many examinations were made, cancer was not detected.

 Two years later an endoscopic examination still couldn't detect any indication of malignancy, but a biopsy specimen showed histological evidence of cancer. Therefore subtotal gastrectomy was performed.

 The pathological change was 25×14 mm of Ⅱb+Ⅱc type early gastric cancer and tub2, m in depth.

 It may be difficult to make a diagnosis of cancer even after several examinations, as in this case, because cancer spreads irregularly so it is hard to determine it's size. Furthermore, the gastric ulcer scars surrounding the cancer also makes it hard to detect. Therefore, we should pay much more attention to a patient with a suspected ulcerated gastric cancer as well as informing such a patient about the difficulty in detecting the cancer, and the need to make follow-up examinations on the lesion more carefully.


Copyright © 1999, Igaku-Shoin Ltd. All rights reserved.

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

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