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

A Case of Ⅱb Subtype Early Gastric Cancer S. Noda 1 , Y. Nishizawa 1 , T. Miyamoto 2 , Y. Shakudo 2 , M. Sowa 3 12nd Dept. of Internal Medicine, Osaka City University 2Dept. of Radioloty, Osaka City University 31st Dept. of Surgery, Osaka City University pp.437-443
Published Date 1973/4/25
DOI https://doi.org/10.11477/mf.1403108426
  • Abstract
  • Look Inside

 A 67-year-old woman came to the hospital with complaints of weight loss and epigastric fullness of a few months' duration.

 The films of the first upper GI series revealed that the greater curvature and adjacent posterior wall of the antrum showed barium coating slightly different from the other areas and this area was characterized by small and large granular appearance of the mucosa.

 Reddish fleck was seen at the greater cuvature of the antrum on the first gastrocamera examination and the possibility of Ⅱc type carcinoma could not be excluded. The gastrofiberscopic examination done one month later showed the similar reddish fleck and another irregular, elevated area at the posterior wall of the antrum which were suspected of being Ⅱc type cacinoma. Biopsy was done on these places. Signet ring celles were found in the five out of six biopsied specimens.

 Preoperative upper GI series showed poorly defined accumulation of barium at the antrum on compression study and indistinct barium fleck on double contrast study, but the areas of carcinomatous invasion usually seen in Ⅱc type carcinoma could not be traced.

 Preoperative fiberscopic examination with small amount of air showed irregular, discolored, coarse gastric mucosa on the posterior wall of the antrum. The coarseness of the mucosa disappeared by stretch-ing its surface with large amount of air. Only discoloration remained.

 These findings suggested Ⅱb type carcinoma. In the fresh as well as fixed gross specimens of the resected stomach, there was an elevated area with rough irregular surface seen on the antrum in the greater curvature which was probably made by thickening and fusion of the “gastric areas”.

 The surface of the mucosa around the elevated area was without brightness, partly coarse and its “gastric areas” were poorly defined, but the area of carcinomatous invasion could not be traced after all.

 Adenocarcinoma mucocellulare was histopathological diagnosis, and the extent of carcinomatous invasion into the deep layers was “m”.

 The thickness of the mucosa invaded by cancer was the same as that of normal mucosa and there were a few small erosions of the mucosa. The lesion was band-form Ⅱb type with the dimensions of 2.7×9.0cm, extending widely from the greater curvature to the anterior and posterior wall of the antrum. This is a case of Ⅱb subtype early gastric cancer in which mucosal change could be demonstrated radiologically and endoscopically and diagnosis of cancer could be made by biopsy. Cases with widespread Ⅱb type carcinoma like this case have been rarely reported in the literature and this might be a case valuable in considering the pathogenesis of gastric cancer.


Copyright © 1973, 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

  • Ⅱb型早期胃癌の1例 中山 恒明 , 羽生 富士夫 , 福島 通夫 , 岩塚 迪雄 , 小林 誠一郎 , 遠藤 光夫 , 榊原 宣 , 山田 明義 , 佐久間 映夫 , 鈴木 茂 , 井手 博子 , 後町 浩二 , 尾原 徹司 , 山田 和毅 , 鈴木 博孝 医学書院 胃と腸
    3巻 7号 (1968年6月)
    pp.839-845
    • 有料閲覧
  • Ⅱb型早期胃癌の1例 佐藤 正伸 , 村田 栄治 , 岡田 健男 , 石川 洋子 , 石川 和克 , 金子 保彦 , 細井 信夫 , 田島 達郎 , 石崎 敬 , 加賀谷 常英 医学書院 胃と腸
    12巻 4号 (1977年4月)
    pp.445-451
    • 有料閲覧
  • Ⅱb型早期胃癌の1例 三戸 康郎 , 平野 雅士 , 脇田 政康 , 副島 一彦 医学書院 胃と腸
    8巻 4号 (1973年4月)
    pp.445-452
    • 有料閲覧
  • Ⅱb型早期胃癌の1例 崔 相羽 , 近藤 台五郎 , 高田 洋 , 川口 和夫 , 佐田 博 , 竹田 彬一 , 北川 睦生 , 吉川 保雄 , 安井 昭 医学書院 胃と腸
    7巻 6号 (1972年6月)
    pp.763-769
    • 有料閲覧
  • Ⅱb型早期胃癌 福富 久之 , 市岡 四象 , 西沢 護 , 岸 清一郎 , 上野 恒太郎 , 熊倉 賢二 , 丸山 雅一 , 白壁 彦夫 , 福地 創太郎 医学書院 胃と腸
    7巻 1号 (1972年1月)
    pp.54-68
    • 有料閲覧
もっと見る

文献を共有