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Double Early Cancer of the Stomach, a Case Report: a Ⅱa+Ⅱc on the anterior wall of the antrum and a minute Ⅱc on the posterior wall at the level of the gastric angle M. Shinkai 1 , Y. Kobayashi 1 , M. Ueta 1 , H. Miki 2 , H. Nakano 2 1Dept. of Int. Med., Handa City Hospital 22nd Dept. of Int. piled., Nagoya Univ., School of Med pp.237-246
Published Date 1973/2/25
DOI https://doi.org/10.11477/mf.1403108374
  • Abstract
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 A report is made of a case of double early cancers of the stomach along with correlation of their x-ray findings with the resected specimen. Initial x-ray TV with compression revealed on the anterior wall of the antrum a Ⅱa+Ⅱc, measuring 10×23 mm, that was later accurately diagnosed as cancer by minute x-ray examination, gastrocamera and biopsy. What was more important, localized abnormal areae gastricae were observed as well on the posterior wall at the angle. We performed gastrectomy with a strong suspicion of Ⅱb-like lesion there. Histologically it proved to be a minute Ⅱc, only 5×5 mm in dimensions.

 The Ⅱa+Ⅱc on the anterior wall of the antrum was well visualized by both prone compression study and prone double contrast. The other minute Ⅱc was demonstrated in x-ray films as localized abnormal areae in the supine double contrast study, when 150 ml of barium meal was ingested and about the same amount of air was introduced into the stomach. Cancer was demonstrated in the areas whose sulci were of irregular shape.

 Even the gross observation of the resected stomach failed to ascertain the extent of Ⅱa+Ⅱc on the anterior wall, and it was hardly possible to suspect the ex-istence of such a minute Ⅱc lesion on the posterior wall. The advantage the double contrast study has over the gross observation of the resected specimenis well exemplified in the present case. We can not be too cautious in picking up lesions in the stomach.


Copyright © 1973, 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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