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Local Recurrence of Minute Cancer of the Stomach, Histologically Showing Spread of Linitis Plastica Type, Report of a Case K. Ohmori 1 , K. Takagi 1 , K. Nakamura 3 1Dept. of Surgery, Cancer Institute Hospital 3Dept. of Pathology, Cancer Institute Hospital pp.1345-1353
Published Date 1976/10/25
DOI https://doi.org/10.11477/mf.1403107456
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 Thirty-three years old female was diagnosed as having Type IIc+III of stomach cancer, and partial gastrectomy with Billroth I anastomosis was successfully performed at the Cancer Institute Hospital.

 The resected stomach was histologically examined by complete sections of the specimen.

 The carcinoma preoperatively diagnosed was situated at the antrum through the lesser curvature site, and measured about 2.5×2.5 cm in dimensions.

 Histological examination revealed mucocellular adenocarcinoma limited to the mucosa.

 In addition, another carcinoma measuring about 0.8 cm in the largest diameter was incidentally revealed at the anterior wall of the corpus near the oral surgical end.

 The latter carcinoma, retrospectively ascertained as type III+IIc, showed scirrhous infiltration of the submucosa. Its surgical end was invaded by several cancer cells.

 Since the carcinoma was completely surrounded with the fundic gland mucosa without intestinal metaplasia, it was clear that the carcinoma arose from there.

 The patient has clinically had remission during two years after the operation. However, local recurrence was found by endoscopic examination.

 Resection of the remnant stomach revealed histologically diffuse cancerous infiltration of the submucosa of the anterior wall, while the involvement of the mucosa and submucosa was limited to the sutured area between the anterior and posterior walls.

 Dimensions of the submucosa and mucosa infiltrated with cancer cells were about 8.0×5.5 cm, and 1.0×1.5cm, respectively.

 The submucosa infiltrated with cancer cells showed moderate fibrosis. Accordingly, the local recurrence of the remnant stomach showed spread of linitis plastica type.

 Histogenesis of the small carcinoma and morphogenesis of linitis plastica, and detection of the oral surgical line are briefly discussed.


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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