Borrmann Type 1 Gastric Cancer with an Endoscopic Appearance Unique Enough to Make the Preoperative Diagnosis of Depth of Invasion Quite Perplexing, Report of a Case Koichi Furukawa 1 , Rintarou Narisawa 1 , Terasu Honma 1 , Hitoshi Asakura 1 , Mituya Iwabuchi 1 1The Third Department of Internal Medicine, Niigata University School of Medicine 2The College of Biomedical Technology, Niigata University Keyword: 胃癌 , 深達度診断 , Borrmann1型 , 超音波内視鏡 pp.1053-1058
Published Date 1994/9/25
DOI https://doi.org/10.11477/mf.1403105914
  • Abstract
  • Look Inside

 We encountered a 63-year-old woman who, while undergoing a thorough health screen, was found to have abnormalities in liver function. Roentgenologic examination of the upper gastrointestinal tract on admis sion revealed an exphytic neoplasm of 4.5 cm in diameter located on the posterior wall of the gastric body. Endoscopically, the tumor was a fungating one with broad base and well-defined boundaries. It was faintly brownish in color with smooth surfaces and without erosion or ulceration; a tortuous blood vessel running towards the apex of the tumor was observed. Biopsy yielded findings that were compatible with a Group V (tub1) carcinoma. The unique morphologic features perplexed us when making a preoperative diagnosis of the depth of invasion. Ultrasound endoscopy disclosed thickening of entire layers of the affected stomach wall, thus leading to a conclusive diagnosis of Borrmann type l carcinoma. Histologic examination of involved tissue resected at operation allowed us to determine the depth of invasion as ss.

Copyright © 1994, Igaku-Shoin Ltd. All rights reserved.


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