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Diagnosis of Linitis Plastica Type of Advanced Gastric Cancer in the Patient Group Who Visited to the Hospital Tsutomu Hamada 1 1Department of Gastroenterology, Juntendo University School of Medicine Keyword: linitis plastica型胃癌 , 胃底腺領域のⅡc , X線診断 pp.525-537
Published Date 1992/5/25
DOI https://doi.org/10.11477/mf.1403106868
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 For the purpose of analyzing the progress of gastric cancer, and diagnosing linitis plastica type of gastric cancer, 2,235 patients with gastric cancer encountered in our department in the past 20 years were investigated.

 Recently, the frequency of early cancer in gastric cancer has reached a rate of over 50%, and the frequency of undifferentiated type of Ⅱc without ulcer scar located in the upper part of the stomach (considered as the initial stage of linitis plastica) has also increased to 5.6% of early cancers. The incidence of resectable and non-resectable advanced cancers has tended to decrease, but the incidence of inoperable diffuse carcinomas (containing linitis plastica) is increasing. It is considered that a way to diagnose early-phase linitis plastica has not yet been established.

 Clinical aspects were discussed and analyzed in twelve patients with prestage of linitis plastica. This prestage linitis plastica is the so-called latent type in which diffuse cancerous invasion has not given rise to scirrhous contracture. Half of them were diagnosed before operation as having early cancer. The ratio of male to female was 5: 7, and the average age was 43.8 years. Five of 12 cases (41.7%) survived more than 5 years after the operation, but characteristic features suggesting that this early cancer had developed into linitis plastica were not able to be found.


Copyright © 1992, 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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