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Early Carcinoma of the Cardiac Region: A clinical study on its diagnosis Y. Sannohe 1 , K. Soezima 1 , T. Hiyama 1 , M. Wakita 1 , S. Inuo 1 , M. Hirano 1 12nd Dept. of Surgery, School of Med., Kyushu Univ pp.513-521
Published Date 1973/4/25
DOI https://doi.org/10.11477/mf.1403108460
  • Abstract
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 Of 169 cases of early carcinoma of the stomach encountered in our Department from Jan. 1961 to June 1972, cardiac lesions were seen in 7 (4.1 per cent), corresponding to 3.6 per cent of cardiac carcinomas of all stages experienced during the same period. Macroscopically,2 cases were of eleveted types (Ⅰ and Ⅱa), and the others, of depressed type (Ⅱc). Except for 2 anaplastic cases, all showed histologically well differentiated, either tubular or papillary, adenocarcinoma. The rate of accuracy in radiographic and endoscopic diagnoses of these early carcinomas was as low as 28.6 per cent. A wide depressed lesion was apt to be mistaken for an advanced one, and a small Ⅱc on the anterior wall of the cardiac region was overlooked by both examinations.

 Radiologic techniques for detecting minute lesions in this segment should be more attended to. For this purpose, we have studied both in the right and left recumbent projections (Matsuura) a few slender, smooth and regular lines of the cardiac mucosa that are always observed around the cardiac orifice and are subject to change even by slight cancerous infiltration.

 Faulty techniques in the use of gastric endoscope (GTF, Va type) together with remote observation by “U-turn” method can also result in overlooking a rather widely spreading early carcinoma in this region.


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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