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Notes on Usage of the New Macroscopic Classification of Gastric Cancer: From the Clinical Diagnostic Viewpoints Hiroshi Shimizu 1 , Yasumasa Baba 1 1Department of Internal Medicine, Cancer Institute Hospital Keyword: 胃癌 , 肉眼分類 , 深達度 , スキルス型胃癌 pp.21-30
Published Date 1995/1/25
DOI https://doi.org/10.11477/mf.1403105284
  • Abstract
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 We analyzed cases of gastric cancer for the purpose of evaluating the new macroscopic classification of gastric cancer from the clinical diagnostic points of view. This new classification would improve the following points: 1) The issue of classification and notation of so-called advanced cancer mimicking early cancer was solved, 2) We could free ourselves from Borrmann's classification and avoid its confusion, 3) The new classification would be more easily accepted internationally because of combined use of TNM classification, 4) Records of clinical, surgical, and conclusive findings by the new classification would disclose true form of lesions and would improve statistical analysis. Precise description of lesions and improvement in the diagnostic ability of radiologic and endoscopic examinations may be necessary for applying the new classification. Especially evaluation of depth of invasion of protruding lesions needs to be established, and macroscopic classification and notation which represent clinico-pathological characteristics of early scirrhus type cancer (latent linitis plastica cancer) without gastric wall contraction need to be solved in the future.


Copyright © 1995, 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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