Surgical and Clinico-pathological Studies on the Superficial Spreading Type of Carcinoma of the Stomach K. Soejima 1 , K. Inokuchi 1 , M. Wakita 1 , Y. Kodama 1 , M. Furusawa 2 12 nd Dept. of Surgery, Faculty of Medicine, Kyushu University 2National Kyushu Cancer Center Hospital pp.1335-1340
Published Date 1973/10/25
DOI https://doi.org/10.11477/mf.1403108491
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 Sixty cases of superficial spreading type cancer of the stomach with depth invasion limited to the pm are the subject of the present study for their clinicopathological characteristics. Also investigated and compared with them are surgically cured 32 cases out of those cancer that showed vertical deveopment and infiltration down to the pm.

 Basic histological types of superficial spreading type are mainly divided into (1) cancer with chiefly mucus cell change (carcinoma solidum simplex mucocellulare and adenocarcinoma tubulare mucocellulare) and (2) tubular carcinoma without mucus cells (adenocarcinoma papillare and adenocacinoma tubulare). The first type can also be expressed as mucus cell type and the second, tubular carcinoma type. We have observed that clinico-pathological features of the second type closely resemble those of vertically developing type. Grossly, mucus cell type exhibits mostly depressed changes, while tubular carcinoma type shows most often elevated changes, even if limited to a small extent. Lymphatic invasion is most frequently seen in tubular carcinoma type, or ly (+).

 The actual five-year-survival rate shows in superficial spreading type an overwhelmingly favorable percentage (97.8%). Accordingly, since superficial spreading type has a very high tendency to limit itself to m, it is of great importance to be well versed in determining the line of excision so as not to leave any cancer cells in the remaining stomach at the time of surgical intervention.

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


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