雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Minute Early Carcinoma on the Esophago-gastric Junction S. Suzuki 1 , T. Nagayo 3 , H. Murakami 1 , T. Takemoto 2 1Institute of Gastroenterology, Tokyo Women's Medical College pp.697-704
Published Date 1976/6/25
DOI https://doi.org/10.11477/mf.1403107284
  • Abstract
  • Look Inside

 Diagnosis of minute lesions near the esophagogastric junction has been considered to be difficult. In fact, minute early cancer less than 1 cm in the longest diameter has rarely been reported. Most of cancer cases in this area are too much advanced to undergo surgical resection. In this paper are demonstrated in detail three cases of minute cancer in the esophagogastric junction. Their macroscopic, microscopic characteristics, their diagnosis and diagnostic problems are also analyzed here.

 All of them revealed well differentiated adenocarcinoma of Ⅱa type. Their size was 0.5×0.4, 1.0×0.7, 0.9×0.5 cm, respectively. The diagnosis was confirmed by a forward viewing panendoscope and biopsy.

 So far only a single case of such minute cancer in this junction has been described in Japan, while early cancer of the same site less than 2 cm in diameter has already been diagnosed in 6 cases. Nine out of 10 cases including our three cases revealed the elevated type of early cancer except for 1 case of IIb. This fact seems to suggest that this elevated appearance is a special characteristics of such small early cancer near the squamo-columnar junction.

 For X-ray diagnosis of small lesions in this part it is most valuable to catch abnormal barium streams from the esophagus to cardia. For endoscopic diagnosis, forward viewing fiberscope must be selected and the junction should be observed dynamically with accurate biopsy. Finally, it is emphasized that better understanding of the lesions in this area is essential for gastroenterologists as is untiring effort to diagnose them.


Copyright © 1976, Igaku-Shoin Ltd. All rights reserved.

基本情報

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

関連文献

もっと見る

文献を共有