X-ray Diagnosis of Superficial Spreading Carcinoma of the Stomach K. Kumakura 1 , M. Maruyama 1 , N. Sugiyama 1 , T. Sasaki 1 , Y. Baba 1 1Dept. of Internal Medicine, Cancer Institute Hospital pp.1313-1326
Published Date 1973/10/25
DOI https://doi.org/10.11477/mf.1403108487
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 A study is made on the x-ray diagnosis of superficial spreading carcinoma of the stomach, based on 484 cases of early gastric cancer which had been operated upon at the Dept. of Surgery, Cancer Institute Hospital in the period of 8 years from 1965 to 1972. The superficial spreading carcinoma is defined as carcinoma whose area is larger than 52 cm2 (Yasui, 1970) and 65 of 484 cases are regarded as such, including 12 cases of polypoid type and 53 cases of depressedy type. As with the location of them, 44 cases occupy the gastric angle mainly and most of them ride on the lesser curvature.

 One of the most important problems in the x-ray diagnosis of the superficial spreading carcinoma of the stomach lies in determination of the proximal border of cancerous infiltration. Generally, the proximal border is determind without difficulty in the cases of polypoid type. However, in the typical three cases of them, the diagnosis of the whole area is difficult, because they reveal IIa or IIb-like spreading pattern at their peripheral portion. In the cases of depressed type, the diagnosis of the whole area is easy if it is in the range of 52~62 cm2. However, the diagnosis is difficult as area becomes bigger. The diagnosis is especially difficult if the area is over 82 cm2.

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


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