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Six Cases of Gastric Carcinoma with Chief Complaint of Hematemesis K. Ikeda 1,2 , M. Ikejiri 1,2 , S. Haguri 1,2 , C. Oyamada 3 , M. Morimatsu 4 1Dept. of Surgery, Saisei-kai Fukuoka Hospital 3Dept. of Internal Medicine, Saisei-kai Fukuoka Hospital 4Dept. of Pathology, School of Medicine, Kurume University pp.431-439
Published Date 1976/4/25
DOI https://doi.org/10.11477/mf.1403107137
  • Abstract
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 Of 100 surgically treated cases for primary gastric cancer for the past 4 years and 10 months, 6 (6 per cent) had chief complaint of hematemesis. The age of these bleeding cancer cases varied from the twenties to sixties. There was not a case of massive bleeding in need of emergency operation. In preoperative diagnosis endoscopy was superior to x-ray. Early endoscopy is recommended to precede radiography. Except for case 1, lesions centered around the posterior wall of the upper and middle parts of the body in resected specimens. Lymphatic invasions of cancer cells around the ulcers were of more than moderate degree except in case 1. Advanced carcinoma simulating early one was seen in more than half the number (4 out of 6). Bleeding gastric cancer did not necessarily have a large crater.

 Histologically, all cases were tubular adenocarcinoma. The degree of atypicality and INF was more than moderate. In only one case was seen more than se in the degree of vertical spead of cancer cells. These data show us that even bleeding gastric cancer would be amenable to curative resection in many cases. Manifest bleeding in the upper digestive tract, especially of hematemesis, demands active endoscopy in the earliest possible period under pertinent supervision of the general condition of the patient. It is most important in establishing the indication for gastrectomy and principles for general management.


Copyright © 1976, 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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