Differential Diagnosis of the Inflammatory Gastric Diseases and Diffuse Infiltrating Carcinomas Tsutomu Hamada 1 1Department of Gastroenterology, Social Health Insurance Medical Center Keyword: びまん浸潤型胃癌 , 炎症性胃疾患 , 胃壁の硬化 , 巨大皺襞 , X線診断 pp.1687-1699
Published Date 2002/12/25
DOI https://doi.org/10.11477/mf.1403104611
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 From the morphological point of view, inflammatory diseases of the stomach were discussed for the sake of differentiating them from diffuse infiltrating carcinomas. The findings of rigidity of the gastric wall and giant folds were characteristic in diffuse infiltrating carcinomas. But the former pathologically caused by fibrosis of the submucosa or adhesion of the serosa was also recognized in corrosive gastritis, infectious disease (syphillis), trench ulcers and acute pancreatitis. On the other hand, the latter caused by inflammation and edema of the mucosa and submucosa were often recognized in hypertrophic gastritis, acute gastritis and Ménétrier's disease. To discuss whether these findings exist or not on x-ray examination was very useful for differential diagnosis. It was also important to ask the patient about the onset of their symptoms, medication and foods. Most of the findings improved after therapy in inflammatory diseases.

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