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Clinical Follow-up and Management of Gastric Benign/Malignant Borderline Lesion Hitoshi Kondo 1 , Daizo Saito 1 , Shigeaki Yoshida 2 1Department of Internal Medicine, National Cancer Center Hospital 2Department of Internal Medicine, National Cancer Center Hospital East Keyword: 胃腫腺 , 内視鏡的切除 , 高危険群 , 画像計測 pp.197-204
Published Date 1994/2/25
DOI https://doi.org/10.11477/mf.1403105687
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 Malignant potential and treatment policy for gastric adenomas were discussed based on 890 cases of adenoma experienced from 1962 to 1993 in our hospital. About 30% of gastric adenomas coexisted with gastric carcinomas in the same (15%) or the different (16%) sites. Endoscopic findings of the high risk groups for cancer coexistence were as follows; 1) morphologically gastritis-like (39%) and depressed (55%) type, 2) larger than 2 cm (44%) in size, 3) reddish color (52%). Furth ermore, morphometrical analysis of tubular abnormality by image processing was useful for predicting the tumor growth. For follow-up examinations, we should be careful not to miss gastric carcinomas in the different sites. Endoscopic mucosal resection should be performed on the high-risk and/or potentially growing lesions.


Copyright © 1994, 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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