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Early Gastric Cancer, Type Ⅰ, Difficult to Diagnose Its Correct Depth of Cancerous Infiltration Preoperatively, Report of a Case M. Ohida 1 , H. Atari 1 , Y. Yokoyama 2 , K. Saigenji 2 , H. Okabe 2 1Department of Pathology, School of Medicine, Kitasato University 2Department of Internal Medicine, School of Medicine, Kitasato University pp.67-70
Published Date 1982/1/25
DOI https://doi.org/10.11477/mf.1403108682
  • Abstract
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 A 59-year-old woman was admitted to Kitasato University Hospital with the chief complaint of weight loss (6 kg/2 M). Complete blood count showed anemia (Hb 8.1 g/dl, RBC 369×104). X-ray study of the upper digestive tract demonstrated a protruded lesion (4.5×3.6 cm in diameter) with irregular deep depression but without fold convergence on the lesser curvature of the antrum. This tumor was elevated sharply making a waist at the base of it. Endoscopic findings revealed almost the same as those of x-ray. In addition to it, surface of the tumor was discolored, and there was no white coating at the depressed site. According to x-ray and endoscopic findings, Borrmann Type 2 advanced cancer was diagnosed initially. Grossly, the size of the protruded lesion was 3.8×3.6 cm in diameter and no fold convergence was seen. Histological examination of the resected specimen showed moderately differentiated adenocarcinoma and the depth of infiltration was limited to the submucosa. At the central depression of the tumor, there was no ulcerative changes. Therefore, finally we diagnosed it as Type Ⅰ early gastric cancer.


Copyright © 1982, 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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