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Elevated Type Gastric Ulcer Scar, Report of a Case K. Seno 1 1Department of Internal Medicine, Ashikaga Red Cross Hospital pp.209-214
Published Date 1981/2/25
DOI https://doi.org/10.11477/mf.1403107946
  • Abstract
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 Radiological and endoscopical examinations demonstrated two lesions. One was a Ⅱc+Ⅱb type early gastric carcinoma on the lesser curvature above the gastric angle, and the other lesion was an elevated type of ulcer scar. The latter lesion was observed endoscopically with biopsies for six months, and biopsy was performed three times, but any biopsy specimens taken from the latter did not show any malignant findings until the last biopsy specimens taken from the former lesion showed malignancy, so we decided on a course of operation.

 There are some reports that acute symmetric gastric ulcer of the antrum may show an elevation, but it is rare that a single ulcer shows elevation for more than two months. Some reporters say that the elevated type of gastric ulcer scar is usually located in the antrum and the depth of ulcer is Ul-Ⅱ.

 The elevation of our case is composed of hyperplastic changes of the pseudopyloric gland and foveolar epithelium, and elevated muscularis mucosa with fibrosis. It is interesting that the hyper-regenerative process after mucosal defect may show the elevation. It is important to distinguish this lesion from other lesions such as elevated type early carcinoma, and atypical epithelium, but if we check the following points, we may be able to distinguish this lesion from others.

 The one point is convergence of the mucosal folds to the elevated lesion, and the other is granulation and redness pattern on the surface of an elevated lesion.


Copyright © 1981, 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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