A Case of Advanced Carcinoma of the Stomach Arising out of a Lesion Being Followed-up as Polyp Y. Jojima 1 1Dept. of Sugery, Branch Hospital, University of Tokyo pp.605-608
Published Date 1973/5/25
DOI https://doi.org/10.11477/mf.1403108476
  • Abstract
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 The case here presented was diagnosed at the initial endoscopic examination as polyps, one located on the greater curvature of the antrum, and the other on the lesser curvature of the mid-body. It was followed up for as long as five years and two months, to be confirmed finally as advanced carcinoma of Borrmann type Ⅲ. Biopsy also done at the outset revealed them benign. There was no possible finding in the body to suggest cancer. Ensuing two examinations were non-contributory. It was noticiable that at the fourth examination by endoscopy (three years and three months before the surgical intervention) the small polyp in the mid-body was ill-defined; slight reddening, coating and rough mucosal surface were seen instead on the probably same location. Retrospectively, this minute change might have been cancer. As the patient did not visit us until the surgical correction, circumstances leading up to it were not clear.

 The resected stomach revealed a cancer lesion, measuring 6.0 by 6.5 cm. Though there had been a long blank before the operation, we assumed that cancer must have fairly rapidly increased in size.

 The relationship between polyp and cancer remained unclarified, but it is of great interest that at one time of cancer development polyp did become indistinct, a fact also reported by Furusawa et al.

Copyright © 1973, Igaku-Shoin Ltd. All rights reserved.


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