Inflammatory Diseases of the Stomach, which Need to be Differentiated from Flat or Depressed-type Carcinomas Shinya Abe 1 , Akimichi Chonan 2 , Shiro Hamada 1 , Tetsuya Noguchi 3 , Yutaka Konno 3 , Daisuke Shibuya 3 1Department of Gastroenterology, Tohoku Rosai Hospital 2Department of Gastroenterology, JR Sendai Hospital 3Cancer Detection Center of Miyagi Cancer Society Keyword: 胃炎症性疾患 , 鑑別診断 , 胃癌 pp.1671-1678
Published Date 2002/12/25
DOI https://doi.org/10.11477/mf.1403104609
  • Abstract
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 We examined the inflammatory diseases of the stomach, which need to be differentiated from flat or depressed-type carcinomas.

 Erosive gastritis due to NSAIDs and that which accompanies chronic renal failure needs to be differentiated from depressed-type carcinomas. Localized atrophy needs to be differentiated from poorly differentiated adenocarcinomas. The lesions on the atrophic border and recurrent ulcers in the active stage need to be differentiated from depressed-type carcinomas with ulceration. Ulcerative lesions on the greater curvature geed to be differentiated from advanced carcinoma with ulceration (type 2 or type 3).

 In order to diagnose lesions correctly and to differentiate between carcinomas and benign lesions, it is mportant to observe the borderline features carefully and to follow up with antiulcer drugs.

 Furthermore, for an exact diagnosis, backing by biopsy is required.

Copyright © 2002, Igaku-Shoin Ltd. All rights reserved.


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