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A Case of Double Minute Gastric Cancer Diagnosed before Operation H. Murakami 1 , S. Suzuki 1 , M. Maruyama 1 , A. Yamada 1 , N. Sakakibara 1 1The Institute of Gastroenterology, Tokyo Women's Medical College pp.1077-1080
Published Date 1979/8/25
DOI https://doi.org/10.11477/mf.1403107743
  • Abstract
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 The patient, a man aged 61 years, came to the present center for a close examination of the abnormality discovered in a routine medical check-up (gastric X-ray) at his office.

 Endoscopy at the out-patient clinic disclosed a Ⅱa-like protuberance on the anterior side of the greater curvature in the lower portion of the corpus, and a Ⅱb-like lesion, slightly elevated and reddish, at the end of a fold on the greater curvature in the middle portion of the corpus. Both lesions were cancerpositive in the simultaneously performed biopsy of the gross target areas.

 Histologically, these were well-differentiated adenocarcinomas with the m degree of penetration; one on the greater curvature in the lower corpus was Ⅱa-type the size of 5×4 mm, and that on the greater curvature in the middle corpus. Ⅱb-type the size of 10×6 mm  Minute early gastric cancers smaller than 5mm in diameter discovered in the past ll years in the present center amount to 23 lesions in 21 cases (of which three were Ⅱa-type in gross appearance, 13 Ⅱb-type, six Ⅱc-type, and one Ⅲ-type). Histologically, these were all well-differentiated adenocarcinomas, and the degree of penetration was m in 96% of them. Of the above lesions, only 6 in 6 cases had been diagnosed preoperatively, of which two were Ⅱa-type in gross appearance, three Ⅱb-type, and one Ⅱc-type. In the said six lesions, two were diagnosed by X-ray, and three by gastroscopy for screening, while only one was identified by dye-staining method. Five lesions definitively diagnosed by biopsy had all been cancer-positive in the first specimens.


Copyright © 1979, 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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